Individual
MRS. ALYSSA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
205B E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
Mailing address
205B E MAIN ST, HAHIRA, GA 31632-1121
(229) 794-2750
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022060
GA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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