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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARLA MARIE MITCHAM, PHARMD

Active

Pharmacist · GRACEWOOD, GA

Registration Details

NPI Number
1043822067
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2020 (5.6891408635553 yrs)
Last Updated
Aug 20, 2020
License
RPH029883 (GA)

Practice Information

Address
100 MYRTLE BLVD.
PHARMACY BLDG. 15 ROOM G12
GRACEWOOD, GA, 30812
Browse GA providers · Browse ZIP 30812
Phone
7067902496
Fax
7067902340
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in GRACEWOOD, GA

Name Credential NPI
MRS. CYNTHIA BASS KUCELA RPH 1427434273
DR. HOLLI E PENDER PHARMD. 1932571312
SOPHEAP PIN PHARMD 1104330398
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.