NPI age
6 years
Enumerated 2020-04-08
Across 23 active pharmacist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | PS55118 | FLORIDA PHARMACIST LICENSE |
| 01 (GA) | RPH029229 | GEORGIA PHARMACIST LICENSE |
| 01 | 7152015 | BOARD OF PHARMACY SPECIALTIES BCCCP |
Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.
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