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1023315413
ALLAN VAN SHUPE
MARIETTA, GA
NPI
1023315413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 011542)
Enumeration Date
2011-02-21
Last Update Date
2011-02-21
Business Address
-- ALLAN VAN SHUPE R.Ph.
1733 POWDER SPRINGS RD SW
MARIETTA, GA 30064-4863
Phone number: 770-427-6724
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Mailing Address
-- ALLAN VAN SHUPE R.Ph.
1733 POWDER SPRINGS RD SW
MARIETTA, GA 30064-4863
Phone number: 770-427-6724
Copy
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