Organization
TALLAPOOSA RX LLC
Active
Other names
Tallapoosa Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MOUCHET (OWNER)
(770) 574-2339
Entity
Organization
Contact information
Practice address
2066 US HIGHWAY 78, TALLAPOOSA, GA 30176-1368
(770) 574-2339
Mailing address
2066 US HIGHWAY 78, TALLAPOOSA, GA 30176-1368
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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