Individual
JACQUILINE MWENDWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3228 WRIGHTSBORO RD, AUGUSTA, GA 30909-2937
(706) 733-3715
(706) 733-5365
Mailing address
3228 WRIGHTSBORO RD, AUGUSTA, GA 30909-2937
(706) 733-3715
(706) 733-5365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028351
GA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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