Individual
BIBIDH SUBEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1495
Mailing address
7542 ACE RD S, LAKE WORTH, FL 33467-3144
(561) 827-6930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028746
GA
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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