A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
GA license #PHRE005718taxonomy 3336L0003X
Identifiers
Type
Value
Notes
05 (GA)
00059562B
01
1126095
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
TY COBB LTC PHARMACY
Type code 3recorded 2007-12-12
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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