Individual
ASTER MENGISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
684 NORTH COBB PARKWAY, MARIETTA, GA 30062
(770) 427-4648
Mailing address
3420 LASSITER FALLS DR NE, MARIETTA, GA 30062-4199
(404) 786-2494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH10907
SC
183500000X
Pharmacist
Primary
RPH023590
GA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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