Organization
DFG LLC
Active
Other names
Habersham Drug
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNNE GALE RPH (OWNER)
(706) 754-4128
Entity
Organization
Contact information
Practice address
638 HISTORIC HWY 441 SUITE A, DEMOREST, GA 30530
(706) 754-4128
(706) 754-4928
Mailing address
638 HISTORIC HWY 441 SUITE A, DEMOREST, GA 30530
(706) 754-4128
(706) 754-4928
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990894687A
—
GA
Enumeration date
10/09/2020
Last updated
10/09/2020
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