Individual
LISA MARIE SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
4753 ATLANTA HWY, LOGANVILLE, GA 30052-7307
(678) 639-4500
(678) 639-4511
Mailing address
458 LAKESHORE DR, MONROE, GA 30655-7710
(770) 490-7293
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH016939
GA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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