Individual
ELEONOR S CONSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
892 PIERCE AVE, MACON, GA 31204-1531
(478) 745-4295
Mailing address
892 PIERCE AVE, MACON, GA 31204-1531
(478) 745-4295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022843
GA
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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