Individual
DEWAYNE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., BCPS
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH023622
GA
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH-023622
GA
Other
Enumeration date
03/23/2012
Last updated
06/18/2012
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