Individual
DR. LORI HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
441 FAIR RD, STATESBORO, GA 30458-4913
(912) 489-0943
Mailing address
223 WELLINGTON CIR, STATESBORO, GA 30458-9157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026955
GA
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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