Jacqueline Wiederholt, RPH

NPI 1447547245 · on the registry since 2011 · sole proprietor

Practice

Address: 2400 N Druid Hills Rd Ne
Atlanta, GA 30329
Phone: (404) 267-0061
Fax: (404) 267-0061
Organisation at this address: Georgia Cvs Pharmacy Llc
Luxottica Of America Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia