Individual
ANNE THIONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
(770) 496-7400
Mailing address
2175 PARKLAKE DR NE, ATLANTA, GA 30345-2845
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028243
GA
Other
Enumeration date
12/22/2016
Last updated
10/18/2020
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