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Individual

MR. BHARAT M. VIBHAKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2710 HIGHWAY 92, DOUGLASVILLE, GA 30135-5106
(770) 852-1561
(770) 489-6511
Mailing address
204 GREYSTONE DR, CARROLLTON, GA 30116-5106
(770) 838-0439
(770) 489-6511

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018058
GA

Other

Enumeration date
03/25/2011
Last updated
03/25/2011
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