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Organization
BRASSTOWN PROFESSIONAL PHARMACY, INC
Active
Organization
BRASSTOWN PROFESSIONAL PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY S GALLOWAY R.PH., COF (OWNER)
(706) 745-2303
Entity
Organization
Contact information
Practice address
23 MURPHY HWY STE B, BLAIRSVILLE, GA 30512-3157
(706) 745-2303
(706) 745-2333
Mailing address
23 B MURPHY HIGHWAY, BLAIRSVILLE, GA 30512
(706) 745-2303
(706) 745-2333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
8635
GA
332BC3200X
Customized Equipment (DME)
D19680
GA
3336C0003X
Community/Retail Pharmacy
Primary
8635
GA
3336C0004X
Compounding Pharmacy
8635
GA
335E00000X
Prosthetic/Orthotic Supplier
C22010
GA
Other
Enumeration date
06/23/2006
Last updated
02/03/2014
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