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Mr. Jack Edward Funderburk
Pharmacist in Moultrie, Georgia
NPI 1346530847

Jack Edward Funderburk is a Pharmacist based in Moultrie, GA. Jack Edward Funderburk practices in Moultrie, GA. The NPI Number for Jack Edward Funderburk is 1346530847 and holds a License No. RPH010666 (Georgia).

The current practice location address for Jack Edward Funderburk is 305 6Th St Se, Moultrie, GA and can be reached out via phone at 229-984-1378 and via fax at 229-890-3185.

Location: 305 6Th St Se, Moultrie, GA, 31768-4842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346530847
Provider Name
Jack Edward Funderburk
Credential
Provider Entity Type
Individual
Gender
Male
Address
305 6Th St Se, Moultrie, GA, 31768-4842
Phone Number
229-984-1378
Fax Number
229-890-3185
Provider Enumeration Date
04/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 6Th St Se
City
Moultrie
State
Georgia
Zip
31768-4842
Phone Number
229-984-1378
Fax Number
229-890-3185
person
Provider Business Mailing Address Details
Address
305 6Th St Se
City
Moultrie
State
Georgia
Zip
31768-4842
Phone Number
229-984-1378
Fax Number
229-890-3185
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH010666 (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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