Individual
JONATHAN M. WALTON-ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4221 ATLANTA HWY, LOGANVILLE, GA 30052-7316
(770) 554-6785
(770) 554-4985
Mailing address
4221 ATLANTA HWY, LOGANVILLE, GA 30052-7316
(770) 554-6785
(770) 554-4985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023033
GA
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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