Organization
PALMETTO HEALTH COUNCIL INC
Active
Other names
Palmetto Health Council Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA BROWN DMD (CHIEF EXECUTIVE OFFICER)
(404) 929-8824
Entity
Organization
Contact information
Practice address
643 MAIN ST, PALMETTO, GA 30268-1138
(770) 567-0334
(770) 626-4091
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159587
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/22/2009
Last updated
05/14/2025
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