Individual
MR. CHRISTOPHER PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5015 FLOYD RD SW, PUBLIX PHARMACY PHARMACY DEPT., MABLETON, GA 30126-1673
(770) 819-5436
Mailing address
5015 FLOYD RD SW, PUBLIX PHARMACY PHARMACY DEPT., MABLETON, GA 30126-1673
(770) 819-5436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21593
GA
183500000X
Pharmacist
5302028652
MI
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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