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Individual

CELESTINA PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5664 JONESBORO RD, LAKE CITY, GA 30260-3808
(770) 960-0162
(770) 960-2889
Mailing address
5664 JONESBORO RD, LAKE CITY, GA 30260-3808
(770) 960-0162
(770) 960-2889

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH028920
GA

Other

Enumeration date
01/31/2020
Last updated
01/31/2020
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