NPI age
19 years
Enumerated 2007-03-15
Across 961 active pharmacy providers in Georgia.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 000355715A | PHARMACY PROVIDER NUMBER |
| 01 | 1119723 | PHARMACY |
Multi-provider organization. 7 individual providers on file at this primary address.
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