Ty Cobb Healthcare System Long Term Care Pharmacy

NPI 1023092624 - Pharmacy - 3336L0003X

NPI Details
NPI 1023092624
Enumeration Date 12/06/2005
Last Updated 01/25/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JESSICA JESSICA
Position DIRECTOR
Phone (706) 245-1467
Fax (706) 245-1421
Practice Location
521 FRANKLIN SPRINGS ST
ROYSTON GA, 30662-3934, US
Phone (706) 245-1467
Fax (706) 245-1421
Business Location
521 FRANKLIN SPRINGS ST
ROYSTON GA, 30662-3934, US
Phone (706) 245-1467
Fax (706) 245-1421
Toxanomy
Taxonomy Code 3336L0003X
License State Georgia
License Number PHRE005718
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According to our database, Ty Cobb Healthcare System Long Term Care Pharmacy NPI is 1023092624, taxonomy code is 3336L0003X and license number is PHRE005718, license state is located at Georgia. Ty Cobb Healthcare System Long Term Care Pharmacy physically located at 521 Franklin Springs St, Royston GA, 30662-3934. NPI Number 1033115704 has the healthcare provider type.

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1023092624 NPI number is provided on an as is basis without warranty of any kind. 1023092624 is maintained by the National Plan & Provider Enumeration System. The contents of Ty Cobb Healthcare System Long Term Care Pharmacy are for informational purposes only.