Organization
SIMS PHARMACY INC
Active
Other names
Corley Drugs #7
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALLEN LIPHAM PHARMD (PRES./RPH)
(770) 258-3366
Entity
Organization
Contact information
Practice address
100 PROFESSIONAL PL, SUITE 101, CARROLLTON, GA 30117-3874
(770) 834-4456
(770) 834-4671
Mailing address
100 PROFESSIONAL PL, SUITE 101, CARROLLTON, GA 30117-3874
(770) 834-4456
(770) 834-4671
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008802
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE008802
STATE PHARMACY LICENSE
GA
Enumeration date
07/09/2006
Last updated
08/22/2020
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