Individual
KELA O'NEIL PRIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1280 GRAY HWY, MACON, GA 31211-1921
(478) 745-3902
Mailing address
1280 GRAY HWY, MACON, GA 31211-1921
(478) 745-3902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH022322
GA
Other
Enumeration date
10/06/2011
Last updated
12/19/2022
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