Individual
KATHRYN LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4269 W MAIN ST, SOPERTON, GA 30457-2329
(912) 529-4961
Mailing address
4269 W MAIN ST, SOPERTON, GA 30457-2329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028929
GA
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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