Individual
KAITLYN LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
(706) 798-5645
Mailing address
2604 PEACH ORCHARD RD, AUGUSTA, GA 30906-2406
(706) 798-5645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028455
GA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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