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AMBER LAUREL RAINS-VINES PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1699049106
Individual Registrant:
AMBER LAUREL RAINS-VINES PHARMD
Gender: F
Sole Proprietor
Location and contact information for practice:
49 HARRELL ST TRION, GA 30753-1479 US
Tel: 706-734-2481 Fax: --
Contact information for business:
148 SIMMONS ST TRION, GA 30753-1219 US
Tel: 706-734-3372 Fax: --
Registration Information:
NPI: 1699049106
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 183500000X | Pharmacy Service Providers Pharmacist
| GA | 18811 |
N | 183500000X | Pharmacy Service Providers Pharmacist | FL | PS39308 |
Legacy codes, insurance codes and state license numbers:
HEALTH CARE JOBS GA - Page 1