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Organization
THE PLAZA PHARMACY, LLC
Active
Organization
THE PLAZA PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MATISTIC (MEMBER)
(404) 606-2578
Entity
Organization
Contact information
Practice address
775 POPLAR RD, SUITE 100, NEWNAN, GA 30265-8300
(404) 606-2578
(770) 683-4101
Mailing address
775 POPLAR RD, SUITE 100, NEWNAN, GA 30265-8300
(404) 606-2578
(770) 683-4101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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