Individual
AMY CAGLE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6327 HIGHWAY 53 E, DAWSONVILLE, GA 30534-6250
(706) 216-1303
Mailing address
3725 DUCKCOVE WAY, CUMMING, GA 30041-9290
(678) 463-0134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021278
BOARD OF PHARMACY
GA
Enumeration date
11/30/2020
Last updated
11/30/2020
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