Panackal O John Valid NPI
Individual provider · Pharmacist · Gainsville, GA
- NPI
- 1295019495
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH021035 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-10-06
- Last updated
- 2011-10-06
Practice location
472 S Enota Dr
Gainsville, GA 30501
(770) 535-3750