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Individual

MR. JOHN TAN LIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3870 N DRUID HILLS RD, DECATUR, GA 30033-3002
(404) 633-6466
Mailing address
3870 N DRUID HILLS RD, DECATUR, GA 30033-3002
(404) 633-6466

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028784
GA

Other

Enumeration date
08/26/2015
Last updated
08/26/2015
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