Individual provider · Type 1 NPI

Vicklyn Lunick Datilus, PharmD

Pharmacist · Jackson, GA

NPI number 1093437899 Active

Practice location

506 E 3rd St
Jackson, GA 30233-2105

Mailing address

1200 Town Center Village Dr Apt 1222
Mcdonough, GA 30253-5932

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH033513 (GA)

Pharmacist: 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…

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About NPI 1093437899

Vicklyn Lunick Datilus, PharmD's National Provider Identifier is 1093437899, issued on Sep 19, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, GA. The record was last updated on Sep 19, 2022.