Organization
NOMORA CORPORATION
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ELROD R.PH. (PHARMACIST)
(706) 795-0920
Entity
Organization
Contact information
Practice address
7 JOHNSON DR, DANIELSVILLE, GA 30633-7051
(706) 795-0920
(706) 795-3025
Mailing address
7 JOHNSON DR, DANIELSVILLE, GA 30633-7051
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00785353A
—
GA
01
—
1144877
NCPDP
GA
Enumeration date
03/15/2007
Last updated
03/07/2023
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