Individual
ANASTASIA ANUGERAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2774 N COBB PKWY STE 201, KENNESAW, GA 30152-3469
(770) 426-3246
Mailing address
2774 N COBB PKWY STE 201, KENNESAW, GA 30152-3469
(770) 426-3246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029335
GA
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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