Individual
DR. LASONYA RENISE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCACP
Contact information
Practice address
1670 CLAIRMONT RD, DEPT 119, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DEPT 119, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH025492
GA
Other
Enumeration date
11/09/2011
Last updated
01/23/2013
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