# PROMINENCE PHARMACY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prominence pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821456997
- **Authorized official:** YOHANNES HAILE (PRESIDENT)
- **Authorized official phone:** (706) 265-1332

## Contact information

- **Practice address:** 131 PROMINENCE CT STE 140, DAWSONVILLE, GA 30534-8933
- **Practice address phone:** (706) 265-1332
- **Practice address fax:** (706) 265-1333
- **Mailing address:** 131 PROMINENCE CT STE 140, DAWSONVILLE, GA 30534-8933
- **Mailing address phone:** (706) 265-1332
- **Mailing address fax:** (706) 265-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010263 | GA | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 04/17/2017