Individual
JACQUELINE RIAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 DELK RD SE, MARIETTA, GA 30067-5320
(770) 612-5155
(770) 612-5151
Mailing address
2900 DELK RD SE, MARIETTA, GA 30067-5320
(770) 612-5155
(770) 612-5151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
026353
GA
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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