Individual
MISS IESHA M COLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
11343 US HIGHWAY 319 N, THOMASVILLE, GA 31757-3419
(229) 226-5424
(229) 226-5048
Mailing address
PO BOX 971, OPELOUSAS, LA 70571-0971
(337) 692-1840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031263
GA
Other
Enumeration date
07/13/2019
Last updated
12/23/2022
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