Individual
LESLEY BROWN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5303A WRIGHTSBORO RD, GROVETOWN, GA 30813-2800
(762) 383-6527
Mailing address
628 CROWN POINT DR, MARTINEZ, GA 30907-9055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42643
SC
183500000X
Pharmacist
Primary
RPH031689
GA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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