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Mrs. Detra Elaine Provost, RPH
Pharmacist in Evans, Georgia
NPI 1265703128

Detra Elaine Provost is a Pharmacist based in Aiken, GA. Detra Elaine Provost practices in Evans, GA and has the professional credentials of RPH. The NPI Number for Detra Elaine Provost is 1265703128 and holds a License No. RPH18214 (Georgia).

The current practice location address for Detra Elaine Provost is 4223 Washington Rd, Evans, GA and can be reached out via phone at 706-869-0937 and via fax at 706-993-9781.

Location: 4223 Washington Rd, Evans, GA, 29803-7100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265703128
Provider Name
Detra Elaine Provost
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
4223 Washington Rd, Evans, GA, 29803-7100
Phone Number
706-869-0937
Fax Number
706-993-9781
Provider Enumeration Date
01/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4223 Washington Rd
City
Evans
State
Georgia
Zip
30809-3069
Phone Number
706-869-0937
Fax Number
706-993-9781
person
Provider Business Mailing Address Details
Address
4223 Washington Rd
City
Evans
State
Georgia
Zip
30809-3069
Phone Number
706-869-0937
Fax Number
706-993-9781
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH18214 (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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