Georgia Cvs Pharmacy LLC

NPI #1619070448 in Jackson, Georgia

Provider Information

NPI Number: 1619070448
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Jan 17, 2023

Practice Location

Address: 506 E 3RD ST
City: Jackson
State: Georgia
ZIP Code: 30233-2105
Phone: (770) 775-7137

Authorized Official

Name: SUSAN F COLBERT
Title: 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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