Georgia Cvs Pharmacy, L.l.c.

NPI #1629171475 in Fairburn, Georgia

Provider Information

NPI Number: 1629171475
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy, L.l.c.
Primary Specialty: Pharmacy
Enumeration Date: Sep 7, 2006
Last Updated: Jun 12, 2014

Practice Location

Address: 77 HUDSON PLAZA
City: Fairburn
State: Georgia
ZIP Code: 30213-1339
Phone: (770) 964-7785

Authorized Official

Name: SUSAN 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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