Organization
RIVER EDGE RECOVERY CENTER PHARMACY
Active
Parent organization
RIVER EDGE BEHAVIORAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER EDGE BEHAVIORAL HEALTH CENTER
Authorized official
BRYAN LAYMAN RPH (PHARMACY DIRECTOR)
(478) 803-7650
Entity
Organization
Contact information
Practice address
3575 FULTON MILL RD, MACON, GA 31206-5125
(478) 803-7650
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE007084
GA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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