Organization
ELITE APOTHECARY SERVICES, LLC
Active
Other names
Primary Pediatrics Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LOWERY PHARMD (PRESIDENT)
(706) 340-2456
Entity
Organization
Contact information
Practice address
5300 BOWMAN ROAD RM A, MACON, GA 31210-6583
(478) 749-9120
(478) 749-9121
Mailing address
PO BOX 10426, WARNER ROBINS, GA 31095-5426
(478) 749-9120
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003225637A
—
GA
Enumeration date
09/26/2019
Last updated
03/25/2022
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