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General NPI Number Information
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NPI Number | 1457833865
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Entity Type | Organization
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Legal Business Name | GEORGIA PHARMACY LLC
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 6033 HILLANDALE DR. STE B
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City | LITHONIA
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State | GA
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Zip | 30058-4806
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Country | US
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Telephone | 678-787-9962
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Fax |
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Provider Business Mailing Address
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Address Line | 6033 HILLANDALE DR. STE B
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City | LITHONIA
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State | GA
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Zip | 30058
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Country | US
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Telephone | 678-620-3811
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Fax | 678-691-3566
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Authorized Official
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Title or Position | PHARMACY OWNER
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Name | SHEEL SAHNEY
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Credential |
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Telephone | 678-620-3811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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