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Individual

MR. RICHARD M TOMELEVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
3651 PEACHTREE PKWY, SUWANEE, GA 30024
(770) 418-2388
Mailing address
5060 MALLORY CT, SUWANEE, GA 30024-3300
(770) 356-1928

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS31905
FL
183500000X
Pharmacist
RPH018955
GA
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH018955
GA

Other

Enumeration date
06/12/2008
Last updated
06/20/2018
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