# CARMICHAELS OF COVINGTON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carmichaels of Covington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730594870
- **Authorized official:** RAYMOND HICKMAN (OWNER)
- **Authorized official phone:** (770) 317-2850

## Contact information

- **Practice address:** 9148 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-7032
- **Practice address phone:** (678) 712-4570
- **Practice address fax:** (678) 712-4558
- **Mailing address:** PO BOX 965, MONROE, GA 30655-0965
- **Mailing address phone:** (770) 267-2559
- **Mailing address fax:** (770) 267-6138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010037 | GA | Yes |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 05/04/2023