Organization
SILVER CREEK RX LLC
Active
Other names
SILVER CREEK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CORNETT HARRIS RPH (OWNER)
(706) 292-0106
Entity
Organization
Contact information
Practice address
4450 ROCKMART RD SE, SILVER CREEK, GA 30173-2438
(706) 292-0106
(706) 292-0647
Mailing address
PO BOX 230, SILVER CREEK, GA 30173-2438
(706) 292-0106
(706) 292-0647
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010266
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821818A
—
GA
01
—
2158643
PK
—
Enumeration date
01/22/2007
Last updated
06/30/2025
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