Individual
LORETTA WALBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
192 1ST AVE, EAST ELLIJAY, GA 30540-8101
(706) 635-2241
Mailing address
97 COMMERCE DRIVE, BLUERIDGE, GA 30513
(706) 632-9508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022564
GA
Other
Enumeration date
05/28/2014
Last updated
12/18/2023
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