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

Dr. Carl Blake Southerland, PHARMD

Individual provider Pharmacist · NPI 1174110670

Dr. Carl Blake Southerland, PHARMD is a Pharmacist in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

935 Green St NW
Gainesville, GA 30501-3325
Phone: (770) 532-6253
Fax: (770) 532-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH029710 (GA)

Record details

NPI number1174110670
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020

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