Provider Demographics
NPI:1184808784
Name:GARRETT, CLIFFORD ALMAN JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:ALMAN
Last Name:GARRETT
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 RAMBLEWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:SILVER CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30173-2336
Mailing Address - Country:US
Mailing Address - Phone:706-295-1081
Mailing Address - Fax:
Practice Address - Street 1:72 RAMBLEWOOD DR SE
Practice Address - Street 2:
Practice Address - City:SILVER CREEK
Practice Address - State:GA
Practice Address - Zip Code:30173-2336
Practice Address - Country:US
Practice Address - Phone:706-295-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist