Individual
JENNIFER RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W MAPLE ST, CUMMING, GA 30040-2634
(770) 887-5040
Mailing address
116 W MAPLE ST, CUMMING, GA 30040-2634
(770) 887-5040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH019088
GA
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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