Individual
CHETTANA SANASITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1979 CARITHERS WAY, MARIETTA, GA 30064-6012
(678) 908-9189
Mailing address
5707 VETERANS PKWY, COLUMBUS, GA 31904-9003
(706) 322-6253
(706) 322-8995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH031592
GA
333600000X
Pharmacy
Primary
—
GA
Other
Enumeration date
03/19/2020
Last updated
12/23/2022
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