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1619147626
ETTA LISA HAWKINS
ATLANTA, GA
NPI
1619147626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA 13969)
Enumeration Date
2008-03-05
Last Update Date
2008-03-05
Business Address
Mrs. ETTA LISA HAWKINS R.Ph.
2 PEACHTREE STREET N.E. 37TH FLOOR; MEDICAID DIVISION
ATLANTA, GA 30303-3159
Phone number: 404-657-7239
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Mailing Address
Mrs. ETTA LISA HAWKINS R.Ph.
386 SIR WINSTON CT
JONESBORO, GA 30238-4561
Phone number: 770-477-1458
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