Organization
PHARM HOUSE DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LAMB (COMPLIANCE OFFICER)
(770) 474-7693
Entity
Organization
Contact information
Practice address
106 ROCK QUARRY RD STE B, STOCKBRIDGE, GA 30281-3766
(770) 474-7693
Mailing address
PO BOX 580, MCDONOUGH, GA 30253-0580
(770) 474-7693
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
10/05/2018
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