Individual
ELVIRA EBINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4692 RIDGE RD, DOUGLASVILLE, GA 30134-6150
(770) 489-8699
Mailing address
1317 WALTON LN SE, SMYRNA, GA 30082-3875
(404) 702-2719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030291
GA
Other
Enumeration date
12/20/2017
Last updated
06/16/2018
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