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Individual

EDWARD T ROCERETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
1105 WARM SPRINGS HWY, MANCHESTER, GA 31816-1167
(706) 846-2776
Mailing address
7227 ROOSEVELT HWY, WARM SPRINGS, GA 31830-2723
(404) 558-1499

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH011361
GA

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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