NPI age
20 years
Enumerated 2006-02-06
Across 8384 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1112527 | NCPDP |
| 05 (GA) | 00927649A | |
| 01 (GA) | RPH013836 | PHARMACIST LICENSE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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