Individual
LAUREN COSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7285 HIGHWAY 16 STE A, SENOIA, GA 30276-3348
(770) 727-3060
Mailing address
7285 HIGHWAY 16 STE A, SENOIA, GA 30276-3348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023735
GA
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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