Georgia Cvs Pharmacy LLC

NPI #1285871897 in Bethlehem, Georgia

Provider Information

NPI Number: 1285871897
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Jan 20, 2009
Last Updated: Oct 19, 2016

Practice Location

Address: 916 LOGANVILLE HWY
Address 2: STE 400
City: Bethlehem
State: Georgia
ZIP Code: 30620-2144
Phone: (678) 975-3061

Authorized Official

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

Specialties & Taxonomy Codes

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

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