Organization
EAGLE'S LANDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID THOMAS RINK RPH (PRESIDENT)
(770) 474-5005
Entity
Organization
Contact information
Practice address
1090 EAGLE'S LANDING PKWY, STOCKBRIDGE, GA 30281
(770) 474-5005
(770) 474-8093
Mailing address
1090 EAGLE'S LANDING PKWY, STOCKBRIDGE, GA 30281
(770) 474-5005
(770) 474-8093
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007404
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000507515A
—
GA
05
—
000507515B
—
GA
Enumeration date
04/12/2007
Last updated
03/27/2015
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