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General NPI Number Information
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NPI Number | 1861526501
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Entity Type | Organization
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Legal Business Name | NOMORA CORPORATION
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7 JOHNSON DR
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City | DANIELSVILLE
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State | GA
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Zip | 30633-7051
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Country | US
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Telephone | 706-795-0920
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Fax | 706-795-3025
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Provider Business Mailing Address
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Address Line | 7 JOHNSON DR
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City | DANIELSVILLE
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State | GA
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Zip | 30633-7051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. GEORGE ELROD
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Credential | R.PH.
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Telephone | 706-795-0920
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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 | PHRE008231
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License Number State | GA
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