Individual
KACY LYNN THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
104 TOWN BLVD NE # A100, BROOKHAVEN, GA 30319-3146
(404) 233-7480
Mailing address
3571 COLD SPRING LN, CHAMBLEE, GA 30341-2055
(770) 851-7980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027320
GA
Other
Enumeration date
07/13/2013
Last updated
05/10/2017
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