NPI age
21 years
Enumerated 2005-05-24
Across 1965 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00769238A | |
| 05 (AL) | 100210061 | |
| 05 (GA) | 000769238C |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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