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AMY CAGLE BRUCE PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1033713144

Individual Registrant:
 AMY CAGLE BRUCE PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
6327 HIGHWAY 53 E  DAWSONVILLE, GA 30534-6250 US
Tel: 706-216-1303  Fax: --

Contact information for business:
3725 DUCKCOVE WAY  CUMMING, GA 30041-9290 US
Tel: 678-463-0134  Fax: --

Registration Information:
NPI: 1033713144
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GA021278

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BOARD OF PHARMACY021278GA01




HEALTH CARE JOBS GA - Page 1



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