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Individual

AMANDA BOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
1720 MARS HILL RD NW, ACWORTH, GA 30101-7127
(770) 419-5495
Mailing address
1720 MARS HILL RD NW, ACWORTH, GA 30101-7127
(770) 419-5495

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH022603
GA

Other

Enumeration date
01/29/2020
Last updated
01/29/2020
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