DR. Latanya Mickens, PHARMD

NPI #1477068948 in Suwanee, Georgia

Provider Information

NPI Number: 1477068948
Entity Type: Individual
Name: DR. Latanya Mickens, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 6, 2017
Last Updated: Dec 6, 2017

Practice Location

Address: 992 LANSFAIRE XING
City: Suwanee
State: Georgia
ZIP Code: 30024-6950
Phone: (678) 824-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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