Individual
DR. ITZELIS DEL CARMEN GODREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1079 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501
(678) 971-1000
(678) 971-1031
Mailing address
1079 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-6103
(678) 971-1000
(678) 971-1031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
027660
GA
183500000X
Pharmacist
13915
SC
Other
Enumeration date
09/18/2012
Last updated
07/01/2019
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