Individual
MR. DENNIS LESTER TRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1415 ASHWOOD DR, EVANS, GA 30809
(706) 231-8359
(706) 860-2390
Mailing address
1044 FURYS FERRY RD, CVS PHARMACY, EVANS, GA 30809
(706) 231-8359
(706) 860-2359
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
11733
GA
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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