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Atlanta Id Group, P.c.
Pharmacy in Fayetteville, Georgia
NPI 1548767619

Atlanta Id Group, P.c. is a Pharmacy based in Atlanta, GA. Atlanta Id Group, P.c. practices in Fayetteville, GA. The NPI Number for Atlanta Id Group, P.c. is 1548767619 and holds a License No. PHRE009501 (Georgia).

The current practice location address for Atlanta Id Group, P.c. is 1265 Highway 54 West, Fayetteville, GA and can be reached out via phone at 678-435-3040 and via fax at 678-435-3044.

Location: 1265 Highway 54 West, Fayetteville, GA, 30309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548767619
Provider Name
Atlanta Id Group, P.c.
Credential
Provider Entity Type
Organization
Address
1265 Highway 54 West, Fayetteville, GA, 30309
Phone Number
678-435-3040
Fax Number
678-435-3044
Provider Enumeration Date
04/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1265 Highway 54 West
City
Fayetteville
State
Georgia
Zip
30214
Phone Number
678-435-3040
Fax Number
678-435-3044
person
Provider Business Mailing Address Details
Address
1265 Highway 54 West
City
Fayetteville
State
Georgia
Zip
30214
Phone Number
678-435-3040
Fax Number
678-435-3044
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHRE009501 (Georgia)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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