Organization
BI-LO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DAVID DEVERELL PHARMD (STAFF PHARMACIST)
(706) 861-6197
Entity
Organization
Contact information
Practice address
820 MISSON RIDGE ROAD, ROSSVILLE, GA 30741
(706) 861-6197
Mailing address
820 MISSON RIDGE RD., ROSSVILLE, GA 30741
(706) 861-6197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
023926
GA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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