Individual
LORI KITCHENS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2994 ATLANTA RD SE, SMYRNA, GA 30080-3655
(770) 435-2178
Mailing address
2994 ATLANTA RD SE, SMYRNA, GA 30080-3655
(770) 435-2178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015511
STATE LICENSE
GA
Enumeration date
12/02/2020
Last updated
12/02/2020
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