NPI age
20 years
Enumerated 2005-08-19
Across 321 active pharmacy providers in Georgia.
14 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00377858B | |
| 01 (GA) | 1135359 | NCPDP |
| 05 (GA) | 00377858A |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 14 individual providers on file at this primary address.
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