Individual
ANISHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5755 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-5702
(316) 871-1355
Mailing address
1080 W PEACHTREE ST NW UNIT 1311, ATLANTA, GA 30309-3878
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032553
GA
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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