Individual
AMY COOPER OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1 TECHNOLOGY PKWY S, NORCROSS, GA 30092-2928
(762) 289-0300
(855) 748-0572
Mailing address
1 TECHNOLOGY PKWY S, NORCROSS, GA 30092-2928
(762) 289-0300
(855) 748-0572
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
GA016616
GA
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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