Individual
THERESA ANN BETTEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1021 STONEKIRK TRCE, LAWRENCEVILLE, GA 30043-2666
(770) 995-2481
(770) 586-5101
Mailing address
1021 STONEKIRK TRCE, LAWRENCEVILLE, GA 30043-2666
(770) 995-2481
(770) 586-5101
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
020021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020021
—
GA
Enumeration date
06/26/2008
Last updated
06/26/2008
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