Individual
BRIAN KENNETH STELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1032 MAIN ST, FOREST PARK, GA 30297-1442
(404) 366-4320
Mailing address
280 HANOVER DR, VILLA RICA, GA 30180-7205
(770) 329-0240
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH015416
GA
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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