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Organization
RITE AID PHARMACY
Active
Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RAVEN NORTHCUTT PHARMD (PHARMACIST)
(615) 238-7279
Entity
Organization
Contact information
Practice address
3687 HIGHWAY 5, DOUGLASVILLE, GA 30135-2385
(770) 577-8979
Mailing address
950 W PEACHTREE ST NW, UNIT 1001, ATLANTA, GA 30309-3846
(615) 238-7279
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027466
GA
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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