Individual provider · Type 1 NPI

Jonathan Tyler Proctor, PharmD

Pharmacist · Dothan, AL

NPI number 1720955180 Active

Practice location

4650 W Main St
Dothan, AL 36305-9419

Fax (334) 824-6988

Mailing address

5369 10th St
Malone, FL 32445-3428

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X24347 (AL)

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 1720955180

Jonathan Tyler Proctor, PharmD's National Provider Identifier is 1720955180, issued on Oct 21, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Dothan, AL. The record was last updated on Oct 21, 2025.