Individual
AMY ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5707 VETERANS PKWY, COLUMBUS, GA 31904-9003
(706) 322-6253
Mailing address
5707 VETERANS PKWY, COLUMBUS, GA 31904-9003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027276
GA
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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