Organization
FARMER'S PRESCRIPTION SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EDWARD FARMER R.PH., CDM (PRES.)
(770) 867-9072
Entity
Organization
Contact information
Practice address
279 N BROAD ST STE A, WINDER, GA 30680-2589
(770) 867-9072
(770) 867-8229
Mailing address
279 N BROAD ST STE A, WINDER, GA 30680-2589
(770) 867-9072
(770) 867-8229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00027805A
—
GA
05
—
00027805B
—
GA
Enumeration date
05/11/2006
Last updated
09/23/2024
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