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Individual

LOAM FERRER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2205 LAVISTA RD NE, ATLANTA, GA 30329-3951
(404) 633-4201
Mailing address
2205 LAVISTA RD NE, ATLANTA, GA 30329-3951
(404) 633-4201

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026704
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026704
GA KICENSE NUMBER
Enumeration date
08/08/2020
Last updated
08/08/2020
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