Organization
SOUTHERN REGIONAL MEDICAL CENTER - PRIME HEALTHCARE
Active
Other names
Southern Regional Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH A ROWAN PHARMD (PHARMACY SUPERVISOR)
(770) 991-8066
Entity
Organization
Contact information
Practice address
33 UPPER RIVERDALE RD SW STE 20, RIVERDALE, GA 30274-2626
(770) 991-8066
(770) 991-8072
Mailing address
33 UPPER RIVERDALE RD SW STE 20, RIVERDALE, GA 30274-2626
(770) 991-8066
(770) 991-8072
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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