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Organization
CLINICAL SPECIALTIES, LLC
Active
Organization
CLINICAL SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN EUGENE GORE PHARMD (OWNER/ PIC)
(706) 855-1915
Entity
Organization
Contact information
Practice address
318 BASTON RD, SUITE 103, AUGUSTA, GA 30907-2978
(706) 855-1915
Mailing address
318 BASTON RD, SUITE 103, AUGUSTA, GA 30907-2978
(706) 855-1915
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008682
GA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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