NPI age
19 years
Enumerated 2007-01-05
Across 321 active pharmacy providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1147950 | NCPDP |
| 05 (GA) | 00040785A | |
| 01 | 1147950 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Multi-provider organization. 1 individual provider on file at this primary address.
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