IndividualActive
Alise Jeter, PHARMD
NPI 1851979967 · Pharmacist · Lagrange, GA
Provider details
- NPI number
- 1851979967
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- RPH029766 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1861 Roanoke Rd Ste a
Lagrange, GA 30240-3850
Phone: (706) 350-4200
Fax: (706) 350-4220
Approximate (ZIP-level) locationGet directions
Mailing address
1861 Roanoke Rd Ste a
Lagrange, GA 30240-3850
Registry dates
- Enumerated
- 2021-03-30
- Last updated
- 2021-03-30
- Certified
- 2021-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.