Individual
LAUREN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, PHARMD
Contact information
Practice address
1417 HEATH ST, AUGUSTA, GA 30904-6211
(706) 210-7991
Mailing address
1417 HEATH ST, AUGUSTA, GA 30904-6211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHI-015209
GA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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