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Individual

MELISSA A BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2295 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5520
(770) 517-2088
Mailing address
375 YONAH CIR, WOODSTOCK, GA 30189-7035
(770) 315-1498

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
020016
GA

Other

Enumeration date
10/13/2020
Last updated
10/13/2020
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