Villa Rica Rx LLC
NPI #1073300497 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1073300497
- Entity Type
- Organization
- Organization Name
- Villa Rica Rx LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- 222 W WILSON ST
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180-1807
- Phone
- (770) 456-4663
Authorized Official
- Name
- COLTON BLACKMON
- Title
- OWNER
- Phone
- (770) 456-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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