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Individual

LANCE E JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2715 LOGANVILLE HWY, LOGANVILLE, GA 30052-6660
(770) 822-2852
Mailing address
2715 LOGANVILLE HWY, LOGANVILLE, GA 30052-6660
(770) 822-2852

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015066
GA

Other

Enumeration date
01/12/2013
Last updated
01/12/2013
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