Individual
LIDA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4279 ROSWELL RD, ATLANTA, GA 30342-3769
(404) 843-4358
(404) 843-4302
Mailing address
4279 ROSWELL RD, ATLANTA, GA 30342-3769
(404) 843-4358
(404) 843-4302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025378
GA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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