KELLY TA

LAWRENCEVILLE, GA
NPI1427658087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH027249)
Enumeration Date2020-10-31
Last Update Date2020-10-31
Business Address
KELLY TA
1400 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30044-2029
Phone number: 770-682-5605
Mailing Address
KELLY TA
1400 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA 30044-2029
Phone number: 770-682-5605