Organization
COMPREHENSIVE HEALTHCARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARRIS D GRANSBERRY JR. PHARM. D (PHARMACIST)
(404) 422-5400
Entity
Organization
Contact information
Practice address
505 GLEN IVY, MARIETTA, GA 30062-9405
(404) 422-5400
Mailing address
505 GLEN IVY, MARIETTA, GA 30062-9405
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
RPH021895
GA
332B00000X
Durable Medical Equipment & Medical Supplies
RPH021895
GA
3336M0003X
Managed Care Organization Pharmacy
Primary
RPH021895
GA
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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