Individual
KRYSTAL AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 N MORGAN ST, LAGRANGE, GA 30240-2806
(706) 882-2971
Mailing address
300 N MORGAN ST, LAGRANGE, GA 30240-2806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027882
GA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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