NPI age
19 years
Enumerated 2006-06-19
Across 38 active pharmacy providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 1143370 | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 05 (GA) | 00689499A |
Multi-provider organization. 2 individual providers on file at this primary address.
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