Individual
RAYNA STANDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 E LAKE PKWY, MCDONOUGH, GA 30253-4802
(770) 954-4389
Mailing address
518 HARPER RD, MCDONOUGH, GA 30252-4949
(770) 954-9511
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0015470
GA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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