Organization
CARRS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CARR PHARM D (OWNER)
(770) 938-3144
Entity
Organization
Contact information
Practice address
2340 MAIN ST, TUCKER, GA 30084-4413
(770) 938-3144
(678) 280-6302
Mailing address
2340 MAIN ST, TUCKER, GA 30084-4413
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101221
OTHER ID NUMBER
—
05
—
28146B
—
GA
Enumeration date
03/05/2007
Last updated
09/12/2007
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