# GMC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417708835
- **Authorized official:** DAVID REGINALD OZMENT (PIC)
- **Authorized official phone:** (706) 234-7616

## Contact information

- **Practice address:** 3402 ALABAMA HWY NW, ROME, GA 30165-9652
- **Practice address phone:** (706) 234-7616
- **Mailing address:** PO BOX 2936, ROME, GA 30164-2936
- **Mailing address phone:** (706) 234-7616
- **Mailing address fax:** (706) 234-7156

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2024
- **Last updated:** 04/01/2024