Individual
ELIAS MAKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
668 MAIN ST, THOMSON, GA 30824-7416
(706) 595-1667
Mailing address
1545 DANBURY DR, NORCROSS, GA 30093-1419
(404) 380-0253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH200004513
DC
183500000X
Pharmacist
Primary
RPH034100
GA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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