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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
About Stedi
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