Georgia Cvs Pharmacy, LLC

NPI #1891098547 in Leesburg, Georgia

Provider Information

NPI Number: 1891098547
Entity Type: Organization
Organization Name: Georgia Cvs Pharmacy, LLC
Primary Specialty: Pharmacy
Enumeration Date: Dec 17, 2010
Last Updated: Mar 6, 2012

Practice Location

Address: 1193 US HIGHWAY 19 SOUTH
City: Leesburg
State: Georgia
ZIP Code: 31763-4825
Phone: (229) 436-1330

Authorized Official

Name: SUSAN COLBERT
Title: DIRECTOR, PAYER RELATIONS
Phone: (401) 765-1500

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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