NPI age
17 years
Enumerated 2008-06-24
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | PS41726 | PHARMACIST LICENSE |
| 01 (GA) | GA16177 | PHARMACIST LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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