Individual
DEMETRIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
730 N CHURCH ST, THOMASTON, GA 30286-3618
(706) 648-4048
Mailing address
730 N CHURCH ST, THOMASTON, GA 30286-3618
(706) 648-4048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026258
GA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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