Organization
WALMART PHARMACY #1070
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN CARTER RPH (STAFF PHARMACIST)
(706) 502-2374
Entity
Organization
Contact information
Practice address
88 HIGHLAND XING, EAST ELLIJAY, GA 30540-6052
(706) 276-1180
Mailing address
405 RIVEREDGE LN # 9061, ELLIJAY, GA 30540-5390
(706) 502-2374
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
12398
GA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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