GRACE ODI

AUGUSTA, GA
NPI1659616449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: SC  7656)
Enumeration Date2012-12-05
Last Update Date2012-12-05
Business Address
-- GRACE ODI rph
2902 PEACH ORCHARD RD
AUGUSTA, GA 30906-3504
Phone number: 706-650-8224
Mailing Address
-- GRACE ODI rph
134 MOSS CREEK DR
MARTINEZ, GA 30907-4517
Phone number: 706-650-8224
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