Individual
DR. CHLOE LEE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
602 PETERSON AVE S, DOUGLAS, GA 31533-5233
(912) 260-1198
Mailing address
2177 CONWAY VICKERS RD, AMBROSE, GA 31512-3733
(912) 309-0229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033272
GA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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