Individual
BETHLEHEM ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 S WESTOVER BLVD, ALBANY, GA 31707-0604
(229) 405-6805
Mailing address
3205 MINERAL RIDGE CT, STONE MOUNTAIN, GA 30087-4278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033083
GA
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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