An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
GA license #RPH018959taxonomy 183500000X
Identifiers
Type
Value
Notes
05 (GA)
00921566A
01 (GA)
1407801566
NPI PROVIDER
05 (SC)
7G8531
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
The Medicine Shoppe Pharmacy #1774
Type code 3recorded 2007-02-09
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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