Individual
KRISTEN BOZEMAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1200
Mailing address
200 ORCHARD TRL, CANTON, GA 30115-2304
(706) 818-2382
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027163
GA
Other
Enumeration date
07/07/2013
Last updated
09/08/2023
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