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Organization
MAS PHARMACY AND COMPOUNDING LAB LLC
Active
Organization
MAS PHARMACY AND COMPOUNDING LAB LLC
Active
Other names
MAS PHARMACY AND COMPOUNDING LAB LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VERA MOUMAH (PRESIDENT)
(770) 732-9342
Entity
Organization
Contact information
Practice address
705 S GORDON RD SW, STE A, MABLETON, GA 30126-5138
(770) 732-9342
(770) 732-9347
Mailing address
705 S GORDON RD SW, STE A, MABLETON, GA 30126-5138
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009151
GA
Other
Enumeration date
10/29/2007
Last updated
04/08/2008
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