Individual
MS. LAURIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
794 S PARK ST, CARROLLTON, GA 30117-3826
(770) 838-1678
(770) 838-9352
Mailing address
3273 WILLOW MEADOW LN, DOUGLASVILLE, GA 30135-7915
(817) 789-9958
(770) 942-9945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024076
GA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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