Individual
JARED ALAN LOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
303 CHARLIE WATTS BLVD, DALLAS, GA 30157
(770) 443-4886
(770) 443-5904
Mailing address
303 CHARLIE WATTS BLVD, DALLAS, GA 30157
(770) 443-4886
(770) 443-5904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020494
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161568
NABP
GA
01
—
1386930071
NPI
—
Enumeration date
10/15/2011
Last updated
10/15/2011
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