Individual
ELISABETH JOHNSON BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
400 SHALLOWFORD RD NW, GAINESVILLE, GA 30504-4152
(770) 531-0325
Mailing address
2818 WICKEFORD MILL DR, BUFORD, GA 30519-7611
(678) 622-3766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8882
SC
183500000X
Pharmacist
Primary
RPH018859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH018859
PHARMACY LICENSE NUMBER FOR THE STATE OF GEORGIA
GA
Enumeration date
05/14/2014
Last updated
05/14/2014
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