NPI age
19 years
Enumerated 2007-01-22
Across 1965 active pharmacy providers in Georgia.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000821818A | |
| 01 | 2158643 | PK |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 2 individual providers on file at this primary address.
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