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Individual

ANTHONY QUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3650 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 210-7991
Mailing address
527 CAPSTONE WAY, GROVETOWN, GA 30813-5929
(786) 691-5108

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028340
GA

Other

Enumeration date
04/19/2016
Last updated
04/19/2016
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