Individual provider · Type 1 NPI

Ralyn Daniels Bullock

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Jefferson, GA

NPI number 1831860006 Active

Practice location

1685 Old Pendergrass Rd
Jefferson, GA 30549-2705

Mailing address

306 Katherine Dr
Jefferson, GA 30549-2107

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XRPH033179 (GA)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

11 other providers at this address

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About NPI 1831860006

Ralyn Daniels Bullock's National Provider Identifier is 1831860006, issued on Sep 27, 2021. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Jefferson, GA. The record was last updated on May 20, 2026.