Individual
AMY MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 CLAIRMONT RD NE, BROOKHAVEN, GA 30329-1639
(404) 325-4000
Mailing address
2901 CLAIRMONT RD NE, BROOKHAVEN, GA 30329-1639
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028105
GA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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