Individual
GINA MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1495
Mailing address
1701 WILLIAMS CT APT 1310, COLUMBUS, GA 31904-3918
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH030239
GA
GA
Enumeration date
09/20/2017
Last updated
09/20/2017
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