Individual
MARLO H PRIVITERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3595 CANTON RD, MARIETTA, GA 30066-2658
(770) 924-7972
(770) 924-6063
Mailing address
3595 CANTON RD, MARIETTA, GA 30066-2658
(770) 924-7972
(770) 924-6063
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH018006
GA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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