Individual
DEANDRA PICKELSIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
684 W BANKHEAD HWY, VILLA RICA, GA 30180-1601
(770) 459-9344
Mailing address
684 W BANKHEAD HWY, VILLA RICA, GA 30180-1601
(770) 459-9344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHI033130
GA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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