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LAUREN COSTICK
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1508490582
Individual Registrant: LAUREN COSTICK
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
7285 HIGHWAY 16 STE A SENOIA, GA 30276-3348 US
Tel: 770-727-3060 Fax: --
Tel: 770-727-3060 Fax: --
Contact information for business:
7285 HIGHWAY 16 STE A SENOIA, GA 30276-3348 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1508490582
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | GA | RPH023735 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
