Allan Van Shupe, R.PH.

NPI #1023315413 in Marietta, Georgia

Provider Information

NPI Number
1023315413
Entity Type
Individual
Name
Allan Van Shupe, R.PH.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH.
Enumeration Date
Feb 21, 2011
Last Updated
Feb 21, 2011

Practice Location

Address
1733 POWDER SPRINGS RD SW
State
Georgia
ZIP Code
30064-4863
Phone
(770) 427-6724

Specialties & Taxonomy Codes

Specialty
Pharmacist

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