DR. Thaddeus A Blue, PHARMD

NPI #1770807661 in Mableton, Georgia

Provider Information

NPI Number
1770807661
Entity Type
Individual
Name
DR. Thaddeus A Blue, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Mar 21, 2010
Last Updated
Mar 21, 2010

Practice Location

Address
1153 VININGS PLACE WAY SE
State
Georgia
ZIP Code
30126-5671
Phone
(678) 933-1711

Specialties & Taxonomy Codes

Specialty
Pharmacist

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