Marketplace Pharmacy LLC

NPI #1306105325 in Carnesville, Georgia

Provider Information

NPI Number
1306105325
Entity Type
Organization
Organization Name
Marketplace Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
May 10, 2012
Last Updated
Jan 28, 2022

Practice Location

Address
9205 LAVONIA RD
State
Georgia
ZIP Code
30521-3203
Phone
(706) 384-3995

Authorized Official

Name
MICHAEL GONZALEZ, RPH.
Title
PHARMACIST IN CHARGE
Phone
(706) 384-2085

Specialties & Taxonomy Codes

Specialty
Pharmacy

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