Redleys Pharmacy And Health Consultants LLC
Health Maintenance Organization in Fayetteville, GA. Organization (NPI-2).
NPI number1194351502
StatusActive
Last updated in NPPESMar 17, 2020
Details
- NPI
- 1194351502
- Entity type
- Organization (NPI-2)
- Legal business name
- Redleys Pharmacy And Health Consultants LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2020
- Certification date
- Mar 17, 2020
- Last updated
- Mar 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 333600000X | Pharmacy | – | – |
Practice location
105 White Tail CtFayetteville, GA 30214-4919
Phone 770-401-6473
Mailing address
105 White Tail CtFayetteville, GA 30214-4919
Phone 770-401-6473
Authorized official
Donna Marie Redley
President
7704016473
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