Organization
NEWNAN PHARMACY INC
Active
Other names
Newnan Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNES SMIT (OWNER)
(770) 304-1345
Entity
Organization
Contact information
Practice address
15 BAKER RD STE 2, NEWNAN, GA 30265-2155
(770) 683-6771
(770) 683-6773
Mailing address
15 BAKER RD STE 2, NEWNAN, GA 30265-2155
(770) 683-6771
(770) 683-6773
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136100A
—
GA
01
—
2138858
PK
—
Enumeration date
02/01/2013
Last updated
06/23/2016
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