Organization
GM MEDICAL SERVICES LLC
Active
Other names
Candler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE DOE (OWNER)
(404) 549-2526
Entity
Organization
Contact information
Practice address
1769 CANDLER RD, DECATUR, GA 30032-3276
(678) 705-5283
(678) 973-0237
Mailing address
1769 CANDLER RD, DECATUR, GA 30032-3276
(678) 705-5283
(678) 973-0237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
PHRE009936
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141117
PK
—
Enumeration date
07/15/2013
Last updated
07/15/2013
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