NPI age
12 years
Enumerated 2013-09-27
Across 1965 active pharmacy providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003140889A | |
| 01 | 2142332 | PK |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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