Organization
CSRA HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (DIRECTOR, BUSINESS OFFICE SERVICES)
(615) 465-7466
Entity
Organization
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7142
Mailing address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7142
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHRE007291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145386
NABP
—
Enumeration date
08/13/2006
Last updated
11/06/2007
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