Individual
DR. JANCIE LYNN WIETING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1200 NORTHSIDE FORYSTH DRIVE, CUMMING, GA 30041
(770) 844-3396
(770) 844-3397
Mailing address
1200 NORTHSIDE FORYSTH DRIVE, CUMMING, GA 30041
(770) 844-3396
(770) 844-3397
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
025488
GA
183500000X
Pharmacist
Primary
RPH025488
GA
Other
Enumeration date
02/17/2011
Last updated
02/23/2018
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