Peachtree Pharmacy Services

NPI #1023210044 in Cleveland, Georgia

Provider Information

NPI Number: 1023210044
Entity Type: Organization
Organization Name: Peachtree Pharmacy Services
Primary Specialty: Pharmacist
Enumeration Date: Jun 1, 2007
Last Updated: Nov 6, 2007

Practice Location

Address: 1018 SOUTH MAIN STR
Address 2: HWY 129 SUITE A
City: Cleveland
State: Georgia
ZIP Code: 30528
Phone: (706) 865-0367

Authorized Official

Name: MR. JAMES CHARLES HERNDON, RPH
Title: PHARMACY MANAGER
Phone: (706) 865-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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