Individual
ERICA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 N DECATUR RD, DECATUR, GA 30033-5307
(404) 638-6166
Mailing address
2155 N DECATUR RD, DECATUR, GA 30033-5307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027958
GA
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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