Individual
MAIVEL SAMIR THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12050 HIGHWAY 92 STE 112, WOODSTOCK, GA 30188-4287
(770) 591-2895
(770) 591-8463
Mailing address
12050 HIGHWAY 92 STE 112, WOODSTOCK, GA 30188-4287
(770) 591-2895
(770) 591-8463
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH026457
GA
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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