Mrs. Detra Elaine Provost is a pharmacist in Evans, Georgia. Patients can reach her at 4223 Washington Rd, Evans or contact her on 706-869-0937. Active license number of Mrs. Detra Elaine Provost is RPH18214 for Pharmacist in Georgia. Mrs. Detra Elaine Provost is 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.
Complete Profile:
Mrs. Detra Elaine Provost speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Mrs. Detra Elaine Provost
Specialization:
Pharmacist
Credentials:
RPH
Gender:
Female
Location:
4223 Washington Rd, Evans, Georgia, 30809-3069
Phone:
706-869-0937
Fax:
706-993-9781
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mrs. Detra Elaine Provost are as mentioned below.
NPI Number:
1265703128
NPI Enumeration Date:
24 Jan, 2012
NPI Last Update On:
24 Jan, 2012
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Detra Elaine Provost are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
RPH18214
Georgia
Primary
Pharmacist
8706
South Carolina
Secondary
Pharmacist
32754
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
114 Aberdeen Dr, Aiken, South Carolina
Zip:
29803-7100
Phone Number:
803-649-3603
Fax Number:
803-649-3603
Patients can reach Mrs. Detra Elaine Provost at 4223 Washington Rd, Evans, Georgia or can call on phone at 706-869-0937.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.