Individual
DR. ENRIQUE PUERTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
(706) 282-4268
Mailing address
163 HOSPITAL DR, TOCCOA, GA 30577-6820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS38352
FL
183500000X
Pharmacist
Primary
RPH020537
GA
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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