Individual
KARAN TUCKER TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
250 LANGLEY DR STE 1131, LAWRENCEVILLE, GA 30045-6932
(800) 680-1804
Mailing address
1321 ROBINHOOD RD, WATKINSVILLE, GA 30677-1821
(706) 540-1031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
GA014060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA014060
PHARMACIST LISENCE
GA
Enumeration date
03/12/2007
Last updated
07/08/2007
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