Individual
LINH MAN LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5970 MOUNT ZION BLVD, ELLENWOOD, GA 30294-4006
(770) 960-0162
Mailing address
5970 MOUNT ZION BLVD, ELLENWOOD, GA 30294-4006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035803
GA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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