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 #PHRE003303taxonomy 3336L0003X
Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
taxonomy 333600000X
Identifiers
Type
Value
Notes
05 (GA)
000025088A
01
2162319
PK
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
CLINIC DRUG STORE
Type code 3recorded 2016-08-02
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
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