Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Rustin Dixon

Individual provider Pharmacist · NPI 1073113429

Daniel Rustin Dixon is a Pharmacist in Moultrie, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

641 Veterans Pkwy S
Moultrie, GA 31788-8843
Phone: (229) 985-6850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 027636 (GA)

Record details

NPI number1073113429
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing addressPo Box 426, Adel, GA 31620-0426

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