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Individual

DR. ROXANNE ELAINE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM D

Contact information

Practice address
5101 WASHINGTON RD, EVANS, GA 30809-6445
(706) 650-0911
Mailing address
5101 WASHINGTON RD, EVANS, GA 30809-6445
(706) 650-0911

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH017180
GA
3336C0003X
Community/Retail Pharmacy
Primary
RPH017180
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH017180
GEORGIA BOARD OF PHARMACY
GA
Enumeration date
10/20/2022
Last updated
10/20/2022
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