NPI age
19 years
Enumerated 2006-07-08
Across 321 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | 7G6610 | |
| 01 (GA) | PHRE006610 | BOARD OF PHARMACY |
| 05 (GA) | 00638437A | |
| 01 | 1142429 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Pharmacy Corporation Of America.
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