Organization
AST PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHTIAQ AHMAD (OWNER)
(706) 314-9735
Entity
Organization
Contact information
Practice address
1102 N 5TH AVE NE STE 200, ROME, GA 30165-2623
(706) 314-9735
Mailing address
1102 N 5TH AVE NE STE 200, ROME, GA 30165-2623
(706) 314-9735
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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