Organization
LOVVORN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LOVVORN RPH (OWNER)
(770) 537-2386
Entity
Organization
Contact information
Practice address
240 TALLAPOOSA ST, BREMEN, GA 30110
(770) 537-2386
(770) 537-4418
Mailing address
240 TALLAPOOSA ST, BREMEN, GA 30110
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104102
NABP
GA
Enumeration date
12/07/2007
Last updated
02/18/2008
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