NPI age
19 years
Enumerated 2006-12-15
Across 1965 active pharmacy providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00031237A | |
| 01 (GA) | 1109277 | NABP NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address.
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