Individual
DEBORAH GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
537 HARDEE ST, DALLAS, GA 30132-4711
(770) 505-0255
Mailing address
451 AMOS OSBORNE PATH, DALLAS, GA 30132-8386
(404) 308-9795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012327
GA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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