DR. Marla Marie Mitcham, PHARMD

NPI #1043822067 in Gracewood, Georgia

Provider Information

NPI Number: 1043822067
Entity Type: Individual
Name: DR. Marla Marie Mitcham, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 20, 2020
Last Updated: Aug 20, 2020

Practice Location

Address: 100 MYRTLE BLVD.
Address 2: PHARMACY BLDG. 15 ROOM G12
City: Gracewood
State: Georgia
ZIP Code: 30812
Phone: (706) 790-2496

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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