Tallapoosa Rx LLC
NPI #1629827860 in Tallapoosa, Georgia
Provider Information
- NPI Number
- 1629827860
- Entity Type
- Organization
- Organization Name
- Tallapoosa Rx LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- May 17, 2024
- Last Updated
- May 17, 2024
Practice Location
- Address
- 2066 US HIGHWAY 78
- City
- Tallapoosa
- State
- Georgia
- ZIP Code
- 30176-1368
- Phone
- (770) 574-2339
Authorized Official
- Name
- JACOB MOUCHET
- Title
- OWNER
- Phone
- (770) 574-2339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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