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Vicklyn Datilus, PHARMD
NPI 1093437899 · on the registry since 2022 · sole proprietor
Practice
- Address
- 506 E 3rd St
Jackson, GA 30233 - Phone
- (770) 775-7134
- Organisation at this address
- Georgia Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia