Individual
MRS. AMY BETTLE COVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2555 BOLTON RD NW, ATLANTA, GA 30318-1322
(404) 355-8855
Mailing address
2555 BOLTON RD NW, ATLANTA, GA 30318-1322
(404) 355-8855
(404) 350-1651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326141151
PHARMACY
GA
Enumeration date
12/08/2020
Last updated
12/08/2020
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