Individual
GARY PARTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
698 DULUTH HWY, LAWRENCEVILLE, GA 30046-7645
(770) 822-0788
Mailing address
4605 JEFFERSON LN SW, LILBURN, GA 30047-4264
(770) 822-0788
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
GA014157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014157
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
09/06/2016
Last updated
09/06/2016
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