Individual
MRS. CHANDRA FELITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5435 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087-3045
(770) 935-5607
(770) 935-6712
Mailing address
5435 FIVE FORKS TRICKUM RD, STONE MOUNTAIN, GA 30087-3045
(770) 935-5607
(770) 935-6712
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016679
GA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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