Individual
KRISHAN BAJNATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4375 LAWRENCEVILLE HWY, TUCKER, GA 30084-3702
(770) 310-0184
Mailing address
2743 BLOOM CIR, DACULA, GA 30019-4206
(770) 310-0184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032219
GA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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