Organization
MTM PHARMACY CONSULTANTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS R CARBAUGH PHARMD, RPH. (CEO)
(912) 449-8527
Entity
Organization
Contact information
Practice address
4953 ROBERTS RD, BLACKSHEAR, GA 31516-4576
(912) 449-8527
Mailing address
4953 ROBERTS RD, BLACKSHEAR, GA 31516-4576
(912) 449-8527
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
17933
GA
Other
Enumeration date
08/29/2010
Last updated
08/29/2010
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