Organization
PRUITTHEALTH PHARMACY SERVICES, INC.
Active
Other names
PruittHealth Pharmacy Services - Toccoa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO)
(770) 279-6200
Entity
Organization
Contact information
Practice address
377 NORTH POND STREET, TOCCOA, GA 30577-1920
(706) 886-7787
(706) 886-2939
Mailing address
1626 JEURGENS CT, NORCROSS, GA 30093-2219
(770) 279-6200
(770) 279-6200
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033767A
—
GA
05
—
0116756
—
NC
Enumeration date
05/31/2006
Last updated
03/27/2014
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