Individual
DENISA DEMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
898 HORIZON SOUTH PKWY, GROVETOWN, GA 30813-3037
(706) 619-2248
Mailing address
2511 CASCADE CT, GROVETOWN, GA 30813-3376
(313) 953-8175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029341
GA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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