Individual
DEANA O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
5590 MABLETON PKWY SW STE 100, MABLETON, GA 30126-3342
(770) 745-5635
(770) 745-7121
Mailing address
5590 MABLETON PKWY SW STE 100, MABLETON, GA 30126-3342
(770) 745-5635
(770) 745-7121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018831
GA
Other
Enumeration date
03/06/2010
Last updated
03/06/2010
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