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
- City
- Carnesville
- 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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