Individual
MRS. CASEY REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13387 JONES ST, LAVONIA, GA 30553-1164
(706) 356-4153
Mailing address
13387 JONES ST, LAVONIA, GA 30549-6708
(706) 367-8828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024968
GA
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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