Individual
KANG-SHA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 AUBURN RD, DACULA, GA 30019-5434
(770) 682-2627
(770) 682-2632
Mailing address
831 AUBURN RD, DACULA, GA 30019-5434
(770) 682-2627
(770) 682-2632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021454
GA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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