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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. Get directions of Nursing Home Pharmacy.
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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