Most Relevant Information
Provider Data
| NPI Number: | 1003199050 |
| Provider Name: | SHIRLEY ROSE PELTRO PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH023804 |
Most Important Dates
| Enumeration Date: | 09/26/2011 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
4398 ATLANTA HWY
LOGANVILLE
GA
300527314
Practice Location Phone/Fax
| Phone: | 6786390213 |
| Fax: |
Provider Mailing Location
355 SIMONTON CREST DR
LAWRENCEVILLE
GA
300453513
Provider Mailing Phone/Fax
| Phone: | 7182080574 |
| Fax: |