NPI 1023485257

Marian Vanamore'

Practitioner Pharmacist Acworth, GA

Practice location

Address: 4595 Highway 92, Acworth, GA 30102-2233
Phone: (770) 529-9712

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH018621 (GA)

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Registry record

NPI: 1023485257
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2015
Record last updated: 24 Aug 2015

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.