Individual
CARLOS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
48 COCA COLA PLACE, ATLANTA, GA 30303
(404) 161-6411
Mailing address
705 BOSTONIAN TRCE, PEACHTREE CITY, GA 30269-5627
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
17130
GA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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