Organization
CARMICHAELS OF COVINGTON INC
Active
Other names
Carmichaels of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND HICKMAN (OWNER)
(770) 317-2850
Entity
Organization
Contact information
Practice address
9148 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-7032
(678) 712-4570
(678) 712-4558
Mailing address
PO BOX 965, MONROE, GA 30655-0965
(770) 267-2559
(770) 267-6138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010037
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146549
PK
—
Enumeration date
06/27/2014
Last updated
05/04/2023
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