Organization
BALL GROUND PHARMACY LLC
Active
Other names
BALL GROUND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RICHARDSON RPH (PHARMACIST)
(404) 272-6893
Entity
Organization
Contact information
Practice address
470 VALLEY ST, STE 100, BALL GROUND, GA 30107-4067
(770) 735-6161
(770) 735-6925
Mailing address
470 VALLEY ST, STE 100, BALL GROUND, GA 30107-4067
(770) 735-6161
(770) 735-6925
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007345
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473052C
—
GA
01
—
2017773
PK
—
Enumeration date
11/17/2006
Last updated
07/02/2025
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