Lia Churchill

NPI #1114278793 in Rincon, Georgia

Provider Information

NPI Number: 1114278793
Entity Type: Individual
Name: Lia Churchill
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 24, 2012
Last Updated: Sep 24, 2012

Practice Location

Address: 409 S COLUMBIA AVE
City: Rincon
State: Georgia
ZIP Code: 31326-9080
Phone: (912) 826-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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