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Organization
DAHLONEGA PHARMACY INC
Active
Organization
DAHLONEGA PHARMACY INC
Active
Other names
DAHLONEGA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LAYNE CPTH (OFFICE MGR)
(706) 864-2522
Entity
Organization
Contact information
Practice address
70 MEMORIAL DR, DAHLONEGA, GA 30533-0800
(706) 864-2522
(706) 864-5051
Mailing address
70 MEMORIAL DR, DAHLONEGA, GA 30533-0800
(706) 864-2522
(706) 864-5051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003260
GA
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
11/21/2005
Last updated
12/11/2017
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