NPI age
19 years
Enumerated 2007-01-03
Across 1965 active pharmacy providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 | 1136933 | OTHER ID NUMBER |
| 05 (GA) | 00506965B | |
| 01 | 1136933 | OTHER ID NUMBER-COMMERCIAL NUMBER |
Single-site organization. Only one practice location on file.
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