Individual
ABEL E KUSOVSCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
146 LANCELOT WAY, LAWRENCEVILLE, GA 30046-4756
(678) 779-9424
Mailing address
146 LANCELOT WAY, LAWRENCEVILLE, GA 30046-4756
(678) 779-9424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028682
GA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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