Provider Demographics
NPI:1275830291
Name:FRAZEUR, MARGARET W (RPH)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:W
Last Name:FRAZEUR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1993
Mailing Address - Country:US
Mailing Address - Phone:678-297-9178
Mailing Address - Fax:
Practice Address - Street 1:173 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1993
Practice Address - Country:US
Practice Address - Phone:678-297-9178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-28
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008568183500000X
GARPH021980183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist