# COWETA-FULTON DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palmetto Pharmacy, LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285420349
- **Authorized official:** HARRY JOSEPH BURG (SOLE MEMBER)
- **Authorized official phone:** (706) 714-3483

## Contact information

- **Practice address:** 202 FAYETTEVILLE RD, PALMETTO, GA 30268-1339
- **Practice address phone:** (770) 703-5027
- **Practice address fax:** (770) 703-3751
- **Mailing address:** 202 FAYETTEVILLE RD, PALMETTO, GA 30268-1339
- **Mailing address phone:** (770) 703-5027
- **Mailing address fax:** (770) 703-3751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2025
- **Last updated:** 04/16/2025
