Individual
ERIK BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-2059
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-2059
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
REF000000374
—
GA
Enumeration date
04/24/2020
Last updated
04/24/2020
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