NPI age
19 years
Enumerated 2006-05-28
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11639 | OCCUPATIONAL TAX LICENSE |
| 01 (GA) | PHHH000002 | PHARMACY LICENSE |
| 05 (GA) | 407152969A |
Single-site organization. Only one practice location on file.
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