Organization
PHYSICIANS RX PHARMACY OF NEWMAN LLC
Active
Other names
Physicians Rx Pharmacy of Newnan LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SMITH (CEO)
(301) 789-9288
Entity
Organization
Contact information
Practice address
770 GREISON TRL, NEWNAN, GA 30263-6408
(404) 870-7748
(800) 466-1601
Mailing address
C/O D CUTULI, KOPPERS BUILDING 6TH FLOOR, 436 SEVENTH AVENUE, PITTSBURGH, PA 15219
(412) 391-2920
(412) 391-4703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010101
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003154724A
—
GA
01
—
2148230
PK
—
Enumeration date
10/03/2014
Last updated
03/04/2015
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