Mychal Outlaw
Mychal Outlaw is a Pharmacist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
Practice location Address checks out
3401 Northside Pkwy NWAtlanta, GA 30327-2323
Phone: (404) 261-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence RPH29282 (GA) |
|---|
Record details
| NPI number | 1811593668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2020 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | 3135 Dunton St Se, Smyrna, GA 30080-4458 |
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