Organization
PHARMACEUTICAL CONCEPTS PC
Active
Other names
LULA PHARMACY AND FOOTHILLS GIFT SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MILLER BS PHARMACY (PIC)
(770) 869-3616
Entity
Organization
Contact information
Practice address
6102 BANKS ST, LULA, GA 30554-5114
(770) 869-3616
(770) 869-9080
Mailing address
PO BOX 436, LULA, GA 30554-0436
(770) 869-3616
(770) 869-9080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000772395A
—
GA
01
—
2013842
PK
—
Enumeration date
03/17/2006
Last updated
03/21/2017
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