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Organization
PEACHTREE PHARMACY AND GIFTS INC
Active
Organization
PEACHTREE PHARMACY AND GIFTS INC
Active
Other names
Peachtree Pharmacy & Gifts, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MCNEELY (OWNER/PHARMACIST)
(478) 494-4019
Entity
Organization
Contact information
Practice address
802 PEACHTREE ST, LOUISVILLE, GA 30434-1450
(478) 625-9450
(478) 625-9454
Mailing address
PO BOX 567, LOUISVILLE, GA 30434-0567
(478) 625-9450
(478) 625-9454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009845
GA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
03/13/2012
Last updated
09/04/2013
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