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Organization
PEACHTREE PHARMACY SERVICES, L.L.C.
Active
Organization
PEACHTREE PHARMACY SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CECILIA HARLAN GANDY (MANAGER)
(404) 797-4373
Entity
Organization
Contact information
Practice address
1018 S MAIN ST, HWY 129 SUITE A, CLEVELAND, GA 30528-1419
(404) 408-0078
(866) 298-0636
Mailing address
4744 TALL PINES DR NW, ATLANTA, GA 30327-3328
(404) 408-0078
(866) 298-0636
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
11/02/2007
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