Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Sep 22, 2006
License(s)
9069 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 TANGLEWOOD DR | Cartersville, GA 30120-4012 | 770-382-8707 |
| LOCATION | 825 WEST AVE | Cartersville, GA 30120-6133 | 770-607-5897 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.