NPI age
19 years
Enumerated 2006-12-27
Across 961 active pharmacy providers in Georgia.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00731541A & B | |
| 01 | 1143495 | NADB OR NCPDP |
Multi-provider organization. 4 individual providers on file at this primary address.
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