Individual
LESLEY DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
6199 HIGHWAY 92, ACWORTH, GA 30102-2344
(770) 924-9105
(770) 926-4827
Mailing address
3670 LAKEWOOD CT, MARIETTA, GA 30066-2859
(404) 578-4425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH020684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/25/2020
Last updated
01/25/2020
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