Organization
RUDY SKING INC
Active
Other names
LITHIA SPRINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KING RPH (OWNER AND PRES)
(770) 948-5208
Entity
Organization
Contact information
Practice address
6935 S SWEETWATER RD, LITHIA SPRINGS, GA 30122-2465
(770) 948-5208
(770) 948-5949
Mailing address
6935 S SWEETWATER RD, LITHIA SPRINGS, GA 30122-2465
(770) 948-5208
(770) 948-5949
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007687
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00580643A
—
GA
01
—
1139903
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/19/2006
Last updated
02/28/2013
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