Individual
DANICA RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 BLAKELY ST, CUTHBERT, GA 39840-5329
(229) 732-2191
Mailing address
800 BLAKELY ST, CUTHBERT, GA 39840-5329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
032443
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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