Individual
EMAN BARASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 CAROLINE ST NE, ATLANTA, GA 30307-2705
(404) 260-0200
Mailing address
565 PEACHTREE ST NE UNIT 1011, ATLANTA, GA 30308-2276
(404) 966-9233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026520
GA
Other
Enumeration date
02/23/2014
Last updated
02/23/2014
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