Most Relevant Information
Provider Data
| NPI Number: | 1003320326 |
| Provider Name: | JERRICA LANISE DODD PHARMD, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS34036 |
Most Important Dates
| Enumeration Date: | 11/22/2017 |
| Last Updated: | 11/22/2017 |
Provider Practice Location
2499 RED BARN RD SW
MARIETTA
GA
300644905
Practice Location Phone/Fax
| Phone: | 7703165497 |
| Fax: |
Provider Mailing Location
1750 POWDER SPRINGS RD SW
SUITE 190, PMB 295
MARIETTA
GA
300644861
Provider Mailing Phone/Fax
| Phone: | 7703165497 |
| Fax: |