A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
GA license #PHRE009780taxonomy 3336L0003X
Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
taxonomy 3336C0004X
Identifiers
Type
Value
Notes
01
2134597
PK
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Southeastern Long Term Care Pharmacy
Type code 3recorded 2021-04-19
Southeastern Long Term Care Pharmacy
Type code 3recorded 2012-04-16
Practice context
Single-site organization. Only one practice location on file.
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