Individual
BROOK MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
342 INDUSTRIAL BLVD, HAWKINSVILLE, GA 31036-2103
(478) 867-3645
Mailing address
342 INDUSTRIAL BLVD, HAWKINSVILLE, GA 31036-2103
(478) 867-3645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020865
GA
1835G0303X
Geriatric Pharmacist
IND-922627
GA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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