Individual
BRIJ DELADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S PATTERSON ST, VALDOSTA, GA 31601-5621
(229) 245-6039
(888) 276-7897
Mailing address
100 BENT OAK CIR, THOMASVILLE, GA 31757-9507
(229) 225-8014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032583
GA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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