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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEE SHELLY (PHARMACIST)
(317) 289-0729
Entity
Organization
Contact information
Practice address
3330 HAMILTON MILL RD, BUFORD, GA 30519-4005
(770) 904-7188
Mailing address
1208 JOHN ADAMS DR, LAWRENCEVILLE, GA 30043-6616
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027304
GA
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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