NPI age
19 years
Enumerated 2006-11-15
Across 1965 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 2013332 | PK |
| 05 (GA) | 1038780001 | |
| 05 (GA) | 000673208A |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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