Tawanna Drake

NPI #1972107902 in Blakely, Georgia

Provider Information

NPI Number: 1972107902
Entity Type: Individual
Name: Tawanna Drake
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 11685 COLUMBIA ST
City: Blakely
State: Georgia
ZIP Code: 39823-2573
Phone: (229) 723-4271

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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