Individual
MRS. ADELE DIANE DENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
119 2ND ST N, SOPERTON, GA 30457-1177
(912) 529-4545
(912) 529-6161
Mailing address
1009 FLORIDA AVE, SOPERTON, GA 30457-1722
(912) 529-5252
(912) 529-6161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016463
GA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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