# CLINICAL SPECIALTIES, LLC

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

## Provider details

- **NPI number:** 1598068967
- **Authorized official:** DR. AUSTIN EUGENE GORE PHARMD (OWNER/ PIC)
- **Authorized official phone:** (706) 855-1915

## Contact information

- **Practice address:** 318 BASTON RD, SUITE 103, AUGUSTA, GA 30907-2978
- **Practice address phone:** (706) 855-1915
- **Mailing address:** 318 BASTON RD, SUITE 103, AUGUSTA, GA 30907-2978
- **Mailing address phone:** (706) 855-1915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008682 | GA | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010