NPI age
20 years
Enumerated 2005-08-22
Across 961 active pharmacy providers in Georgia.
14 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1139763 | NABP |
| 05 (GA) | 00890348A | |
| 05 (GA) | 00890348B |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 14 individual providers on file at this primary address.
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