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Individual

MRS. CAROLYN LOTT FLORENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
324 WEST PATTON ST, LAFAYETTE, GA 30728-0791
(706) 638-3114
(706) 638-7713
Mailing address
PO BOX 791, LA FAYETTE, GA 30728-0791
(706) 638-3114
(706) 638-7713

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11833
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00182762A
GA
05
00182762B
GA
Enumeration date
09/05/2006
Last updated
07/09/2007
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