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Organization
MEDICAL ARTS PHARMACY
Active
Organization
MEDICAL ARTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA OULSNAM (PHARMACIST)
(478) 452-1222
Entity
Organization
Contact information
Practice address
811 N COBB ST, MILLEDGEVILLE, GA 31061-2389
(478) 452-1222
Mailing address
811 N COBB ST, MILLEDGEVILLE, GA 31061-2389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE00955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031721A
—
GA
Enumeration date
04/19/2006
Last updated
08/22/2020
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