Organization
BALL GROUND PHARMACY LLC
Active
Other names
Ball Ground Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RICHARDSON (OWNER)
(770) 735-6161
Entity
Organization
Contact information
Practice address
245 GILMER FERRY RD, BALL GROUND, GA 30107-2908
(770) 735-6161
(770) 735-6925
Mailing address
245 GILMER FERRY RD, BALL GROUND, GA 30107-2908
(770) 735-6161
(770) 735-6925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE007345
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000473052C
—
GA
01
—
113739
NCPDP-NABP
GA
Enumeration date
06/19/2007
Last updated
06/02/2008
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