Organization
DIVYO HEALTH SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY RAYFUS (OWNER)
(855) 675-5210
Entity
Organization
Contact information
Practice address
320 W 9TH ST NE, ROME, GA 30165-2726
(855) 675-5210
(855) 675-5212
Mailing address
PO BOX 108, ROME, GA 30162-0108
(855) 675-5210
(855) 675-5212
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174898464
DERMATRAN HEALTH SOLUTIONS
GA
Enumeration date
02/08/2022
Last updated
06/30/2022
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