Individual
LAURA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(404) 350-7743
Mailing address
2020 PEACHTREE RD NW, ATLANTA, GA 30309-1426
(191) 266-0309
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026647
GA
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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