Georgia Cvs Pharmacy LLC

NPI #1134141922 in Hiram, Georgia

Provider Information

NPI Number: 1134141922
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jul 24, 2006
Last Updated: Oct 17, 2016

Practice Location

Address: 5220 JIMMY LEE SMITH PKWY STE 118
City: Hiram
State: Georgia
ZIP Code: 30141-2780
Phone: (770) 222-1421

Authorized Official

Name: SUSAN COLBERT
Title: SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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