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Organization
CUSTOM MEDICATION AND COMPLIANCE SPECIALISTS INC
Active
Organization
CUSTOM MEDICATION AND COMPLIANCE SPECIALISTS INC
Active
Other names
CMC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EBELL HSIEH PHARM D (PHARMACIST-IN-CHARAGE)
(706) 884-2843
Entity
Organization
Contact information
Practice address
18 NEW AIRPORT RD, STE C, LAGRANGE, GA 30240-1410
(706) 884-2843
(706) 884-8123
Mailing address
18 NEW AIRPORT RD, STE C, LAGRANGE, GA 30240-1410
(706) 884-2843
(706) 884-8123
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
PHRE010299
GA
Other
Enumeration date
08/03/2006
Last updated
06/19/2019
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