Individual
LANCE DAVID SHOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2444 DALLAS HWY SW, MARIETTA, GA 30064-2529
(770) 218-2763
(770) 218-3819
Mailing address
4348 KOUSA RD, AUSTELL, GA 30106-7500
(504) 250-4886
(404) 419-6858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022973
GA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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