Organization
RITA RX INC
Active
Other names
DOUGLASVILLE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RITA COLEMAN (OWNER/PHARMACIST)
(678) 324-7054
Entity
Organization
Contact information
Practice address
3379 HIGHWAY 5 STE F, DOUGLASVILLE, GA 30135-2377
(678) 324-7054
(678) 324-7838
Mailing address
3379 HIGHWAY 5, SUITE F, DOUGLASVILLE, GA 30135-6928
(678) 324-7054
(678) 324-7838
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010325
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166805
PK
—
Enumeration date
12/14/2016
Last updated
12/20/2016
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