Individual
KATHERINE MOUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6095 PINE MOUNTAIN RD NW STE 108, KENNESAW, GA 30152-3332
(800) 547-1399
Mailing address
6095 PINE MOUNTAIN RD NW STE 108, KENNESAW, GA 30152-3332
(800) 547-1399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035172
GA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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