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Individual

KELLY LYNN PAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
(478) 396-3935
Mailing address
1069 SHADY VALLEY PL NE, ATLANTA, GA 30324-2772

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH026640
GA

Other

Enumeration date
01/21/2020
Last updated
01/21/2020
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