Provider Demographics
NPI:1891399796
Name:GRIFFIS, DANAH MICHELE (PHARMACIST BS)
Entity Type:Individual
Prefix:MISS
First Name:DANAH
Middle Name:MICHELE
Last Name:GRIFFIS
Suffix:
Gender:F
Credentials:PHARMACIST BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 CRANBROOK WALK NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-5700
Mailing Address - Country:US
Mailing Address - Phone:770-218-9056
Mailing Address - Fax:
Practice Address - Street 1:1420 US-76
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705
Practice Address - Country:US
Practice Address - Phone:706-695-0518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016736183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist