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Concierge Medical Mgmt Group

Pharmacy in Roswell, GA. Organization (NPI-2).

NPI number1447618707
StatusActive
Last updated in NPPESMay 12, 2018

Details

NPI
1447618707
Entity type
Organization (NPI-2)
Legal business name
Concierge Medical Mgmt Group
Organization subpart
No
Enumeration date
Feb 2, 2016
Last updated
May 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes
171W00000X Contractor––
332900000X Non-Pharmacy Dispensing Site––

Practice location

760 Old Roswell Rd Ste 117
Roswell, GA 30076

Phone 800-704-8875 · Fax 888-816-7047

Mailing address

760 Old Roswell Rd Ste 117
Roswell, GA 30076-8685

Phone 800-704-8875 · Fax 888-840-1265

Authorized official

Nancy Bonner
President
6785009568

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