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Organization

MARSHALL CURTIS

Active
Other names
Medical Villa Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHALL CURTIS RPH (PHARMACYOWNER)
(706) 722-7255
Entity
Organization

Contact information

Practice address
1520 LANEY WALKER BLVD, SUITE C, AUGUSTA, GA 30904-5868
(706) 722-7355
(706) 722-7357
Mailing address
1520 LANEY WALKER BLVD, SUITE C, AUGUSTA, GA 30904-5868
(706) 722-7355
(706) 722-7357

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006386
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000323232A
GA
Enumeration date
02/14/2007
Last updated
06/14/2012
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