Keith N Herist PHARM.D.

NPI 1083617187 - Pharmacist - 183500000X

NPI Details
NPI 1083617187
Gender Male
Enumeration Date 05/23/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
700 SUNSET DR
STE 102
ATHENS GA, 30606-2287, US
Phone (706) 369-0301
Fax
Business Location
700 SUNSET DR
STE 102
ATHENS GA, 30606-2287, US
Phone (706) 369-0301
Fax
Toxanomy
Taxonomy Code 183500000X
License State Georgia
License Number RPH018938
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According to our database, Dr. Keith N Herist PHARM.D. NPI is 1083617187, taxonomy code is 183500000X and license number is RPH018938, license state is located at Georgia. Keith N Herist PHARM.D. physically located at 700 Sunset Dr, Athens GA, 30606-2287. NPI Number Keith N Herist PHARM.D. has the Individual type.

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1083617187 NPI number is provided on an as is basis without warranty of any kind. 1083617187 is maintained by the National Plan & Provider Enumeration System. The contents of Keith N Herist PHARM.D. are for informational purposes only.