Individual
KIRSTIE MRZYGLOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SEVEN HILLS BLVD, DALLAS, GA 30132-0574
(770) 975-6791
Mailing address
166 ROCK GARDEN TER NW, MARIETTA, GA 30064-2622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029366
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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