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Individual
MARJORIE KAREN GRAHAM
Active
Individual
MARJORIE KAREN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH014977
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
09/20/2022
Last updated
09/20/2022
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