Organization
EGOR ENTERPRISES, INC
Active
Other names
family pharmacy no 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACEY DAILEY RPH (PHARMACIST OWNER)
(706) 277-2507
Entity
Organization
Contact information
Practice address
1100 E WALNUT AVE, DALTON, GA 30721-4183
(706) 226-6000
(706) 226-3786
Mailing address
1102 W WAUGH ST, DALTON, GA 30720-8769
(706) 277-2507
(706) 277-2536
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008937
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00932588C
—
GA
05
—
00932588D
—
GA
01
—
PHRE008937
STATE PHARMACY LICENSE
GA
Enumeration date
12/27/2005
Last updated
03/07/2023
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