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Organization
NURSING HOME PHARMACY LLC
Active
Organization
NURSING HOME PHARMACY LLC
Active
Other names
NURSING HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GLEATON BS PHARMACY (PARTNER)
(770) 267-8677
Entity
Organization
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-6462
Mailing address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-6462
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHRE004071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002164
—
GA
01
—
2012681
PK
—
Enumeration date
06/24/2005
Last updated
08/02/2016
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