Individual
CONNIE DEVERELL TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D. RPH
Contact information
Practice address
WALMART PHARMACY #1658, 2205 HARRISON RD, THOMSON, GA 30824
(706) 595-0180
(706) 595-6037
Mailing address
WALMART PHARMACY #1658, 2205 HARRISON RD, THOMSON, GA 30824
(706) 595-0180
(706) 595-6037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH017004
GA
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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