NPI age
6 years
Enumerated 2020-01-14
Across 54 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1174488 | NCPDP |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Subpart of Amerita, Inc..
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