Northeast Georgia Medical Center, INC.
Pharmacy, Community/Retail Pharmacy in Gainesville, GA. Organization (NPI-2).
NPI number1164042867
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1164042867
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Georgia Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Northeast Georgia Medical Center Ee Pharmacy (Doing Business As)
Practice location
1439 Jesse Jewell Pkwy NeGainesville, GA 30501-3806
Phone 770-219-6337
Mailing address
Po Box 741891Atlanta, GA 30374-1891
Phone 770-219-6337
Authorized official
Brian D Steines
Cfo
7702193562
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