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MARISA COLLINS

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1053968339

Individual Registrant:
 MARISA  COLLINS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
402 S VETERANS BLVD  GLENNVILLE, GA 30427-1772 US
Tel: 912-654-9647  Fax: --

Contact information for business:
587 MURPHY CIR  COLLINS, GA 30421-4438 US
Tel: --  Fax: --

Registration Information:
NPI: 1053968339
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH031633

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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