Organization
PSI, LLC
Active
Other names
ElderCare Pharmacy Royston
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA T ROBERSON RPH (VICE PRESIDENT OF OPERATIONS)
(478) 783-1515
Entity
Organization
Contact information
Practice address
635 COOK ST, ROYSTON, GA 30662-3932
(762) 847-7403
(706) 245-1421
Mailing address
635 COOK ST, ROYSTON, GA 30662-3932
(762) 847-7403
(706) 245-1421
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148860A
—
GA
Enumeration date
06/06/2014
Last updated
09/27/2016
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