NPI age
20 years
Enumerated 2006-03-21
Across 321 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00035098A | |
| 01 | 1107071 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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