Chanthakhone Juarez

NPI #1790234649 in Dacula, Georgia

Provider Information

NPI Number
1790234649
Entity Type
Individual
Name
Chanthakhone Juarez
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 3, 2016
Last Updated
Dec 21, 2022

Practice Location

Address
575 DACULA RD
City
Dacula
State
Georgia
ZIP Code
30019-2125
Phone
(305) 254-0323

Specialties & Taxonomy Codes

Specialty
Pharmacist

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