Individual
LADDA INDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2329 BILLUE AVE, GRAYSON, GA 30017-7854
(678) 779-8299
Mailing address
2329 BILLUE AVE, GRAYSON, GA 30017-7854
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034649
GA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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