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ADRA FAITH SMITH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1215115134

Individual Registrant:
 ADRA FAITH SMITH 
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

Contact information for business:
285 SAGE ST  TEMPLE, GA 30179-3846 US
Tel: 770-562-3268  Fax: 770-562-1414

Registration Information:
NPI: 1215115134
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA019821

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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