Individual
HEATHER STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
324 W. PATTON STREET, LAFAYETTE, GA 30728
(706) 638-3114
(706) 638-7713
Mailing address
PO BOX 791, LA FAYETTE, GA 30728-0791
(706) 638-3114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025585
GA
Other
Enumeration date
04/17/2018
Last updated
03/20/2025
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