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Latisha Ann Lovence, RPH

Pharmacist in Marietta, GA. Individual provider (NPI-1).

NPI number1366038705
StatusActive
Last updated in NPPESDec 20, 2020

Details

NPI
1366038705
Entity type
Individual (NPI-1)
Name
Latisha Ann Lovence
Credential
RPH
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2020
Certification date
Dec 20, 2020
Last updated
Dec 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistRPH032486GAYes

Practice location

1733 Macland Rd Sw
Marietta, GA 30064-4109

Phone 770-499-7021

Mailing address

1733 Macland Rd Sw
Marietta, GA 30064-4109

Phone 770-499-7021

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