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Individual

JUZAR SAIFUDDIN KAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2320 N DRUID HILLS RD NE, ATLANTA, GA 30329-3109
(404) 248-1793
Mailing address
6753 WANDERING WAY, NORCROSS, GA 30093-4996

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021037
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH021037
SEC. OF STATE
GA
Enumeration date
09/16/2011
Last updated
09/16/2011
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