NPI 1003199050

Shirley Rose Peltro, PHARMD

Practitioner Pharmacist Loganville, GA

Practice location

Address: 4398 Atlanta Hwy, Loganville, GA 30052-7314
Phone: (678) 639-0213
Mailing address: 355 Simonton Crest Dr, Lawrenceville, GA 30045-3513

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH023804 (GA)

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Registry record

NPI: 1003199050
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2011
Record last updated: 26 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.