NPI 1477808129

Kelly Oliver, RPH

Practitioner Pharmacist Lavonia, GA

Practice location

Address: 13387 Jones St, Lavonia, GA 30553-1164
Phone: (706) 356-4153
Fax: (706) 356-2849

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH026597 (GA)

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Registry record

NPI: 1477808129
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2012
Record last updated: 18 Jul 2012

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.