Individual
CONNOR JARED O'DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4401 SHALLOWFORD RD, ROSWELL, GA 30075-3193
(770) 640-7742
Mailing address
4401 SHALLOWFORD RD, ROSWELL, GA 30075-3193
(770) 640-7742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031466
GA
Other
Enumeration date
07/21/2019
Last updated
02/23/2020
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