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Organization
KERRY LOUIS WILSON
Active
Organization
KERRY LOUIS WILSON
Active
Other names
CHATUGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI WILSON BBA (CO-OWNER)
(706) 896-4686
Entity
Organization
Contact information
Practice address
579 N MAIN ST, HIAWASSEE, GA 30546-2219
(706) 896-4686
(706) 896-2325
Mailing address
579 N MAIN ST, PO BOX 385, HIAWASSEE, GA 30546-2219
(706) 896-4686
(706) 896-2325
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
007904
GA
Other
Enumeration date
12/01/2006
Last updated
06/18/2015
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