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AMANDA DENISE BIRES PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1235675208
Individual Registrant: AMANDA DENISE BIRES PHARMD
Gender: F
Not Sole Proprietor
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
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
Tel: 770-562-2716 Fax: 770-562-2778
Registration Information:
NPI: 1235675208
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH022571 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
