Individual
ELERY MICHAEL BROSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
51 SEVEN HILLS BLVD, DALLAS, GA 30132-2449
(678) 574-3032
Mailing address
51 SEVEN HILLS BLVD, DALLAS, GA 30132-2449
(504) 914-5718
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH034844
GA
Other
Enumeration date
06/21/2024
Last updated
07/29/2024
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