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Organization
MANSFIELD PHARMACY,INC
Active
Organization
MANSFIELD PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H MANSFIELD PHARMACIST (CEO)
(404) 292-7300
Entity
Organization
Contact information
Practice address
832 HAMBRICK RD, STONE MTN, GA 30083-3233
(404) 292-7300
Mailing address
832 HAMBRICK RD, STONE MTN, GA 30083-3233
(404) 292-7300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00323188A
—
GA
Enumeration date
01/11/2007
Last updated
08/22/2020
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