Individual
KATHERINE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1597 HOGANSVILLE RD, LAGRANGE, GA 30241-1423
(706) 242-4902
(706) 242-9211
Mailing address
116 FORD DR, LAGRANGE, GA 30240-8554
(706) 594-3711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017338
GA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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