NPI age
20 years
Enumerated 2005-11-05
Across 961 active pharmacy providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00025891B | |
| 05 (GA) | 00025891A | |
| 01 (GA) | PHRE003427 | STATE LISC NO |
| 01 (GA) | 1102689 | NCPDP |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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