Individual
COLLEEN SACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 NORTHSIDE DR E, STATESBORO, GA 30458-4760
(912) 764-2110
Mailing address
147 NORTHSIDE DR E, STATESBORO, GA 30458-4760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027481
GA
Other
Enumeration date
03/11/2015
Last updated
11/01/2020
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