Individual
AMBER LAUREL RAINS-VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
49 HARRELL ST, TRION, GA 30753-1479
(706) 734-2481
Mailing address
148 SIMMONS ST, TRION, GA 30753-1219
(706) 734-3372
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18811
GA
183500000X
Pharmacist
PS39308
FL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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