NPI age
20 years
Enumerated 2005-07-10
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RPH016829 | PHARMACIST LICENSE |
| 05 (GA) | 00932588B | |
| 05 (GA) | 00932588A | |
| 01 (GA) | PHRE008559 | PHARMACY LICENSE NO |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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