Individual
MRS. CYNTHIA BASS KUCELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY, GRACEWOOD, GA 30812
(706) 790-2496
(706) 790-2340
Mailing address
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY, GRACEWOOD, GA 30812
(706) 790-2496
(706) 790-2340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014488
GA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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