John Thomas Lazenby, PHARMACIST Valid NPI
Individual provider · Pharmacist · Chamblee, GA
- NPI
- 1164544862
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 012692 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Practice location
3807 Clairmont Rd
Chamblee, GA 30341-4911
(770) 457-6236