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Organization
TOWNE LAKE FAMILY PHARMACY LLC
Active
Organization
TOWNE LAKE FAMILY PHARMACY LLC
Active
Other names
Towne lake Family Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OFORI QUARCOO (OWNER)
(770) 635-7697
Entity
Organization
Contact information
Practice address
2360 TOWNE LAKE PKWY STE 102, WOODSTOCK, GA 30189-5576
(770) 635-7697
(770) 635-7526
Mailing address
2360 TOWNE LAKE PKWY STE 102, WOODSTOCK, GA 30189-5576
(770) 635-7697
(770) 635-7526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009746
GA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
04/21/2011
Last updated
04/20/2023
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