Individual
MS. DIANE DENNIS SCHELLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
1670 CLAIRMONT RD, PHARMACY SERVICE -119, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2238
Mailing address
620 BRANCH VALLEY CT, ROSWELL, GA 30076-3003
(770) 640-7400
(404) 329-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11540
GA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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