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General NPI Number Information
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NPI Number | 1891752028
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Entity Type | Organization
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Legal Business Name | L.E. GARRETT CO., INC.
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 112 MAIN ST E
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City | MARSHALLVILLE
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State | GA
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Zip | 31057-9748
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Country | US
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Telephone | 478-967-2494
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Fax | 478-967-2035
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Provider Business Mailing Address
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Address Line | PO BOX 348
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City | MARSHALLVILLE
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State | GA
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Zip | 31057-0348
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Country | US
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Telephone | 478-967-2494
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Fax | 478-967-2035
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Authorized Official
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Title or Position | CEO
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Name | MR. LARRY GARRETT
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Credential | R.PH.
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Telephone | 478-967-2494
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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 | 5858
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License Number State | GA
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