Individual
DR. KATHERYN ALEXIS PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
1670 CLAIRMONT RD, DEPARTMENT 119 (PHARMACY), DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-5096
Mailing address
1670 CLAIRMONT RD, DEPARTMENT 119 (PHARMACY), DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-5096
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
023653
GA
Other
Enumeration date
10/20/2007
Last updated
01/11/2013
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