Individual
MRS. JUDITH THOMPSON MACDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4 TALL PINE CT, AUGUSTA, GA 30909-4539
(706) 729-9494
Mailing address
4 TALL PINE CT, AUGUSTA, GA 30909-4539
(706) 729-9494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH012242
GA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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