Individual
BRIJEN RAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9464 MAIN ST, WOODSTOCK, GA 30188-3715
(678) 402-0532
Mailing address
9464 MAIN ST, WOODSTOCK, GA 30188-3715
(678) 402-0532
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021531
GA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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