Organization
GMC PHARMACY LLC
Active
Other names
GMC PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID OZMENT BS PHARMACY (OWNER)
(706) 234-7616
Entity
Organization
Contact information
Practice address
3402 ALABAMA HWY NW, ROME, GA 30165-9652
(706) 234-7616
(706) 234-7156
Mailing address
PO BOX 2936, ROME, GA 30164-2936
(706) 234-7616
(706) 234-7156
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009473
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028168A
—
GA
01
—
2016363
PK
—
Enumeration date
08/18/2006
Last updated
02/21/2017
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