Provider Demographics
NPI:1598756215
Name:MCINTYRE, VALERIA (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:VALERIA
Middle Name:
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223-3256
Mailing Address - Country:US
Mailing Address - Phone:404-275-5559
Mailing Address - Fax:678-603-2043
Practice Address - Street 1:323 N 5TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223-3256
Practice Address - Country:US
Practice Address - Phone:404-275-5559
Practice Address - Fax:678-603-2043
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0192341835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy