Organization
NURSING HOME PHARMACY LLC
Active
Other names
NURSING HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GLEATON BS PHARMACY (PARTNER)
(770) 267-8677
Entity
Organization
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-6462
Mailing address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
(770) 267-6462
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHRE004071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002164
—
GA
01
—
2012681
PK
—
Enumeration date
06/24/2005
Last updated
08/02/2016
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