Individual
AMANDA DENISE BIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
488 CARROLLTON ST, TEMPLE, GA 30179-4144
(770) 562-2716
(770) 562-2778
Mailing address
488 CARROLLTON ST, TEMPLE, GA 30179-4144
(770) 562-2716
(770) 562-2778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022571
GA
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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