Individual
FARAH DEEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OLD MORGAN ST, LAGRANGE, GA 30241
(706) 882-2971
Mailing address
300 OLD MORGAN ST, LAGRANGE, GA 30241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028302
GA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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