Chickamauga Drug Store, LLC
NPI #1821131996 in Chickamauga, Georgia
Provider Information
- NPI Number
- 1821131996
- Entity Type
- Organization
- Organization Name
- Chickamauga Drug Store, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 13, 2010
Practice Location
- Address
- 114 COVE RD
- City
- Chickamauga
- State
- Georgia
- ZIP Code
- 30707-1407
- Phone
- (706) 375-2611
Authorized Official
- Name
- PHILLIP TALLEY
- Title
- CHIEF MANAGER
- Phone
- (706) 375-2611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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