Individual
JACI MICHELLE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 CHARLES HARDY PKWY, DALLAS, GA 30157-9472
(770) 445-9096
Mailing address
1269 MACKINTOSH PARK NW, ATLANTA, GA 30318-4177
(770) 851-7880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH02422
GA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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