Organization
REDLEYS PHARMACY AND HEALTH CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA MARIE REDLEY RN, MSN (PRESIDENT)
(770) 401-6473
Entity
Organization
Contact information
Practice address
105 WHITE TAIL CT, FAYETTEVILLE, GA 30214-4919
(770) 401-6473
Mailing address
105 WHITE TAIL CT, FAYETTEVILLE, GA 30214-4919
(770) 401-6473
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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