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Organization

VILLA RICA RX LLC

Active
Other names
Villa Rica Drugs LTC
Organization subpart
No

Provider details

NPI number
Authorized official
COLTON BLACKMON (OWNER)
(770) 456-4663
Entity
Organization

Contact information

Practice address
222 W WILSON ST, VILLA RICA, GA 30180-1807
(770) 456-4663
Mailing address
222 W WILSON ST, VILLA RICA, GA 30180-1807
(770) 456-4663

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
04/21/2025
Last updated
04/21/2025
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