Individual
MR. ETHAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
835 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-3644
(404) 460-2706
Mailing address
835 MARTIN LUTHER KING JR DR NW, ATLANTA, GA 30314-3644
(404) 460-2706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03439186
OH
183500000X
Pharmacist
Primary
RPH033584
GA
Other
Enumeration date
11/21/2020
Last updated
10/03/2024
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