RICHARD STOM

DECATUR, GA
NPI1619906021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  014763)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
Mr. RICHARD STOM
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
Mr. RICHARD STOM
145 GRANBY LN
FAYETTEVILLE, GA 30215-5475
Phone number: