Individual
ALYXANDRIA FIVEASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 US HIGHWAY 84 E, CAIRO, GA 39828-1852
(229) 359-0832
Mailing address
501 US HIGHWAY 84 E, CAIRO, GA 39828-1852
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030928
GA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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