Individual
BRIANNA LACEY THIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
920 E ROBERT TOOMBS AVE, WASHINGTON, GA 30673-2050
(706) 678-1567
(706) 678-3072
Mailing address
920 E ROBERT TOOMBS AVE, WASHINGTON, GA 30673-2050
(706) 678-1567
(706) 678-3072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031624
GA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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