Individual
DR. JEREMIAH DETCHEMENDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2116 GLENN FLS, GROVETOWN, GA 30813-5280
(706) 631-9180
Mailing address
2116 GLENN FLS, GROVETOWN, GA 30813-5280
(706) 631-9180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029535
GA
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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