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ADRA FAITH SMITH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1215115134
Individual Registrant: ADRA FAITH SMITH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
285 SAGE ST TEMPLE, GA 30179-3846 US
Tel: 770-562-3268 Fax: 770-562-1414
Tel: 770-562-3268 Fax: 770-562-1414
Contact information for business:
285 SAGE ST TEMPLE, GA 30179-3846 US
Tel: 770-562-3268 Fax: 770-562-1414
Tel: 770-562-3268 Fax: 770-562-1414
Registration Information:
NPI: 1215115134
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | 019821 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
