Individual
JENA BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
986 DAY ROAD, MEANSVILLE, GA 30256
(770) 468-4020
Mailing address
986 DAY RD, MEANSVILLE, GA 30256-2678
(770) 468-4020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023233
GA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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