Nursing Home Pharmacy

NPI Provider: 1780680652
Contact Name: Gleaton Warren John
Position: Pharmacist
Phone: (770) 267-8677

Nursing Home Pharmacy Information:

Nursing Home Pharmacy organization have npi 1780680652, taxonomy code is 3336C0003X with license number is phre004071 in . This Business address located in 1865 Bold Springs Rd NW, Monroe, GA 30656 Georgia.

Practice Location
Address: 1865 Bold Springs Rd NW, Monroe, GA 30656
Phone: (770) 267-8677

Business Location
Address: 1865 Bold Springs Rd NW, Monroe, GA 30656
Phone: (770) 267-8677
Fax: (770) 267-7831

Taxonomy

Taxonomy Code: 3336C0003X

License Number: phre004071

License Number of State: GA

Primary Taxonomy Switch: Y

Enumeration Date: 6/24/2005

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