Garden Lakes Pharmacy, Inc.

NPI #1609929025 in Rome, Georgia

Provider Information

NPI Number: 1609929025
Entity Type: Organization
Organization Name: Garden Lakes Pharmacy, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jan 19, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2022 REDMOND CIR NW
City: Rome
State: Georgia
ZIP Code: 30165-1322
Phone: (706) 378-7945

Authorized Official

Name: MR. DONALD L. HENDERSON, R.PH.
Title: PRESIDENT
Phone: (706) 378-7946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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