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Dr. Carl Blake Southerland, PHARMD
Pharmacist in Gainesville, Georgia
NPI 1174110670

Carl Blake Southerland is a Pharmacist based in Gainesville, GA. Carl Blake Southerland practices in Gainesville, GA and has the professional credentials of PHARMD. The NPI Number for Carl Blake Southerland is 1174110670 and holds a License No. RPH029710 (Georgia).

The current practice location address for Carl Blake Southerland is 935 Green St Nw, Gainesville, GA and can be reached out via phone at 770-532-6253 and via fax at 770-532-6505.

Location: 935 Green St Nw, Gainesville, GA, 30501-3325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174110670
Provider Name
Carl Blake Southerland
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
935 Green St Nw, Gainesville, GA, 30501-3325
Phone Number
770-532-6253
Fax Number
770-532-6505
Provider Enumeration Date
12/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
935 Green St Nw
City
Gainesville
State
Georgia
Zip
30501-3325
Phone Number
770-532-6253
Fax Number
770-532-6505
person
Provider Business Mailing Address Details
Address
935 Green St Nw
City
Gainesville
State
Georgia
Zip
30501-3325
Phone Number
770-532-6253
Fax Number
770-532-6505
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH029710 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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