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Organization
LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.
Active
Organization
LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.
Active
Parent organization
LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.
Other names
Avita Pharmacy 1046
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG'S DRUGS OF SANDERSVILLE, GEORGIA, INC.
Authorized official
ASHLEY ELLIS (CORPORATE COUNSEL)
(704) 641-7967
Entity
Organization
Contact information
Practice address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1316
(404) 231-4431
Mailing address
5700 GRANITE PKWY STE 425, PLANO, TX 75024-6648
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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