SHANIQUE TASHA ANN GRACE POWELL

STONE MOUNTAIN, GA
NPI1316548399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  rph028919)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
SHANIQUE TASHA ANN GRACE POWELL
5935 MEMORIAL DR
STONE MOUNTAIN, GA 30083-3429
Phone number: 404-260-6149
Mailing Address
SHANIQUE TASHA ANN GRACE POWELL
100 HIGHLAND VIEW PT
FAYETTEVILLE, GA 30215-8114
Phone number: 954-249-9570
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