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Individual

MR. JAMES HERNDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4850 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-2859
(770) 277-5246
(770) 682-3791
Mailing address
4850 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-2859
(770) 277-5246
(770) 682-3791

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014565
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPHE014565
PHARMACIST LICENSE NUMBER
GA
Enumeration date
01/20/2013
Last updated
01/20/2013
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