MR. Willie Owen Latch, R.PH

NPI #1114054939 in Augusta, Georgia

Provider Information

NPI Number
1114054939
Entity Type
Individual
Name
MR. Willie Owen Latch, R.PH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R.PH
Enumeration Date
Feb 28, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4315 BELAIR FRONTAGE RD
State
Georgia
ZIP Code
30909-9412
Phone
(706) 854-7640

Specialties & Taxonomy Codes

Specialty
Pharmacist

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