Individual
MR. ALBERT G LUNCEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
975 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4500
(770) 719-3340
(770) 719-5176
Mailing address
975 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4500
(770) 719-3340
(770) 719-5176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012595
GA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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