Organization
BRASSTOWN PROFESSIONAL PHARMACY, INC
Active
Other names
Brasstown Pharmacy Drug & Gun
Organization subpart
No
Provider details
NPI number
Authorized official
AMY S COLE R.PH. (VP/OWNER PHARMACIST)
(706) 745-2303
Entity
Organization
Contact information
Practice address
23 MURPHY HWY STE B, BLAIRSVILLE, GA 30512-3157
(706) 455-8123
(706) 745-2333
Mailing address
23 MURPHY HWY STE B, BLAIRSVILLE, GA 30512-3157
(706) 745-2303
(706) 745-2333
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700192960
AMY COLE, R.PH. NPI #
—
01
—
1730115619
BRASSTOWN NPI#
—
Enumeration date
08/09/2024
Last updated
08/15/2024
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