Individual
KHLOOD ALDOSSARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1495
Mailing address
5462 WHITTLESEY BLVD APT 1228, COLUMBUS, GA 31909-3054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028762
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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