Individual
DENISE DALE SAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1475 N EXPRESSWAY, GRIFFIN, GA 30223-1776
(770) 228-4442
Mailing address
1475 N EXPRESSWAY, GRIFFIN, GA 30223-1776
(770) 228-4442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015628
GA
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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