Individual
LANANH NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 PEACHTREE CENTER AVE NE STE 600, ATLANTA, GA 30303-1277
(866) 787-6341
Mailing address
1309 SIDE STEP TRCE, LAWRENCEVILLE, GA 30045-5502
(404) 797-1018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028607
GA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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