Individual
ANNILYNE MICHELE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-7765
Mailing address
3109 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-7765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030286
GA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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