Individual
ANITA DESAI-NAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 PEACHTREE RD NE, ATLANTA, GA 30326-1039
(678) 782-0420
Mailing address
2692 COLLINS COVE AVE, LAWRENCEVILLE, GA 30043-6108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028306
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH028306
GEORGIA PHARMACIST BOARD
—
Enumeration date
12/11/2017
Last updated
06/11/2019
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