Registry details
Type
Individual
Primary specialty
Pharmacist
Enumerated
Aug 16, 2013
License(s)
RPH015961 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 639 IRVIN ST | Cornelia, GA 30531-3267 | 706-778-4918 |
| LOCATION | 639 IRVIN ST | Cornelia, GA 30531-3267 | 706-778-4918 |
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