Individual
BOBBY DARRELL FORRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9881 COMMERCE ST STE A, SUMMERVILLE, GA 30747-1300
(706) 808-1100
Mailing address
1205 ROCKMART HWY, CEDARTOWN, GA 30125-3311
(770) 842-7508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020958
GA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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