Individual
GLENN RANDALL HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-5325
Mailing address
3294 INDIAN VALLEY TRL, ATLANTA, GA 30341-5714
(770) 316-0718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012747
GA
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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