NPI 1033458906

Mark Monterola

Practitioner Pharmacy Technician Tucker, GA

Practice location

Address: 1462 Montreal Rd, Tucker, GA 30084-6929
Phone: (770) 934-0000

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence PHTC001834 (GA)

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Registry record

NPI: 1033458906
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2013
Record last updated: 24 May 2013

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.