Organization
DAHLONEGA PHARMACY INC
Active
Other names
DAHLONEGA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON LAYNE CPTH (OFFICE MGR)
(706) 864-2522
Entity
Organization
Contact information
Practice address
70 MEMORIAL DR, DAHLONEGA, GA 30533-0800
(706) 864-2522
(706) 864-5051
Mailing address
70 MEMORIAL DR, DAHLONEGA, GA 30533-0800
(706) 864-2522
(706) 864-5051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003260
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000025638B
—
GA
01
—
2012188
PK
—
Enumeration date
11/21/2005
Last updated
12/11/2017
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