NPI age
19 years
Enumerated 2007-01-03
Across 1965 active pharmacy providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 419402714A | |
| 05 (GA) | 419402714B | |
| 01 | 1155286 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Multi-provider organization. 2 individual providers on file at this primary address.
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