Individual
AMY J PANCAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5950 STATE BRIDGE RD, T-0749, DULUTH, GA 30097-6438
(678) 258-1000
(678) 258-1000
Mailing address
5950 STATE BRIDGE RD, T-0749, DULUTH, GA 30097-6438
(678) 258-1000
(678) 258-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017882
GA
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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