Individual provider · Type 1 NPI

Jack Edward Funderburk

Pharmacist · Moultrie, GA

NPI number 1346530847 Active

Practice location

305 6th St SE
Moultrie, GA 31768-4842

Fax (229) 890-3185

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRPH010666 (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 1346530847

Jack Edward Funderburk's National Provider Identifier is 1346530847, issued on Apr 18, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Moultrie, GA. The record was last updated on Apr 18, 2011.