NPI age
19 years
Enumerated 2006-07-09
Across 1965 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | PHRE004797 | STATE PHARMACY LICENSE |
| 05 (GA) | 00069715A | |
| 01 (GA) | 1770516973 | NPI |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Corley & McClendon Inc..
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