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Individual

JENNIFER BACCHUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 721-4916
Mailing address
301 GOLDEN CT, CANTON, GA 30114-6804
(404) 232-5838

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027346
GA

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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