Magdalen Shares, RPH Valid NPI
Individual provider · Pharmacist · Conyers, GA
- NPI
- 1104061001
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH015144 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-12-05
- Last updated
- 2008-12-05
Practice location
2863 Bridle Creek Dr Sw
Conyers, GA 30094-5695
(678) 520-6115