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AMBER LAUREL RAINS-VINES PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA18811
N183500000XPharmacy Service Providers
Pharmacist
FLPS39308

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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