Villa Rica Rx LLC
NPI #1619262433 in Villa Rica, Georgia
Provider Information
- NPI Number
- 1619262433
- Entity Type
- Organization
- Organization Name
- Villa Rica Rx LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 9, 2011
- Last Updated
- Jun 26, 2018
Practice Location
- Address
- 222 WEST WILSON STREET
- City
- Villa Rica
- State
- Georgia
- ZIP Code
- 30180
- Phone
- (770) 456-4663
Authorized Official
- Name
- MR. COLTON HAROLD BLACKMON, PHARM D
- Title
- OWNER
- Phone
- (770) 456-4663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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