Deepa E Chacko

NPI #1831473479 in Lilburn, Georgia

Provider Information

NPI Number
1831473479
Entity Type
Individual
Name
Deepa E Chacko
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Sep 30, 2011
Last Updated
Sep 30, 2011

Practice Location

Address
4235 LAWRENCEVILLE HWY
State
Georgia
ZIP Code
30047
Phone
(770) 921-7074

Specialties & Taxonomy Codes

Specialty
Pharmacist

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