Individual
GLORIA LE JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
204 JONESBORO RD, MCDONOUGH, GA 30253-3720
(404) 388-7789
Mailing address
204 JONESBORO RD, MCDONOUGH, GA 30253-3720
(678) 583-5381
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28947
NC
183500000X
Pharmacist
Primary
RPH032058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28947
BOARD OF PHARMACY
NC
01
—
RPH032058
BOARD OF PHARMACY
GA
Enumeration date
01/29/2021
Last updated
09/22/2021
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