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Organization
PROPHARMAHP LLC
Active
Organization
PROPHARMAHP LLC
Active
Other names
Ross Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE GRINER PHARMD (OWNER/ MANAGER)
(912) 564-7002
Entity
Organization
Contact information
Practice address
127 N MAIN ST, 127 NORTH MAIN ST., SYLVANIA, GA 30467-1818
(912) 564-7002
Mailing address
PO BOX 119, SYLVANIA, GA 30467-0119
(912) 564-7002
(912) 564-0008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE004495
GA
332B00000X
Durable Medical Equipment & Medical Supplies
4435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00394504A
—
GA
01
—
1116979
NCPDP
GA
Enumeration date
09/13/2006
Last updated
03/26/2024
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