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Individual

KRISTA JERIANN PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2700 BRASELTON HWY, DACULA, GA 30019-3262
(770) 614-1022
(770) 614-4413
Mailing address
2700 BRASELTON HWY, DACULA, GA 30019-3262
(770) 614-1022
(770) 614-4413

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH18799
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
KP4841
GA
Enumeration date
10/16/2020
Last updated
10/16/2020
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