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General NPI Number Information
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NPI Number | 1679619282
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Entity Type | Organization
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Legal Business Name | GRIFFIN PHARMACY SERVICES INC
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 1012 MEMORIAL DR STE 15
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City | GRIFFIN
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State | GA
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Zip | 30223-4411
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Country | US
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Telephone | 770-233-8999
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Fax | 770-233-8976
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Provider Business Mailing Address
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Address Line | 1012 MEMORIAL DR STE 15
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City | GRIFFIN
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State | GA
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Zip | 30223-4411
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Country | US
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Telephone | 770-233-8999
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Fax | 770-233-8976
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Authorized Official
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Title or Position | OWNER
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Name | TONYA WESTBURY
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Credential | PHARM D
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Telephone | 770-233-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHRE008577
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License Number State | GA
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