Individual
JENNIFER DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 MAPLE ST, CARROLLTON, GA 30117-5581
(770) 832-0005
Mailing address
2125 MAPLE ST, CARROLLTON, GA 30117-5581
(404) 545-7617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020508
GA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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