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Organization
RUTMEL, INC
Active
Organization
RUTMEL, INC
Active
Other names
Living Well Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR L JOHNSON (R.PH., CHIEF OPERATING OFFICER)
(706) 262-4455
Entity
Organization
Contact information
Practice address
3736 MIKE PADGETT HWY, AUGUSTA, GA 30906-0719
(706) 262-4455
(706) 262-4455
Mailing address
PO BOX 5, GRACEWOOD, GA 30812-0005
(706) 262-4455
(706) 262-4455
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009894
GA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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