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AMANDA DENISE BIRES PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1235675208

Individual Registrant:
 AMANDA DENISE BIRES PHARMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
488 CARROLLTON ST  TEMPLE, GA 30179-4144 US
Tel: 770-562-2716  Fax: 770-562-2778

Contact information for business:
488 CARROLLTON ST  TEMPLE, GA 30179-4144 US
Tel: 770-562-2716  Fax: 770-562-2778

Registration Information:
NPI: 1235675208
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH022571

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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