A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
GA license #PHH007917taxonomy 3336C0002X
Identifiers
Type
Value
Notes
01
1156442
OTHER ID NUMBER
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
PINEWOODS MCINTOSH TRAIL CSR
Type code 3recorded 2008-01-11
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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