# PALLIATIVE PHARMACY SOLUTIONS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALLIATIVE PHARMACY SOLUTIONS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679602452
- **Authorized official:** JONATHAN CARR PHARM D (OWNER)
- **Authorized official phone:** (770) 934-2976

## Contact information

- **Practice address:** 2338 MAIN ST, TUCKER, GA 30084-4413
- **Practice address phone:** (770) 934-2976
- **Practice address fax:** (770) 934-2978
- **Mailing address:** 2338 MAIN ST, TUCKER, GA 30084-4413
- **Mailing address phone:** (770) 934-2976
- **Mailing address fax:** (770) 934-2978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | PHRE007383 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 11/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2020679 | PK | — |
