SOUTHERN PAIN INSTITUTE P C

FAYETTEVILLE, GA
NPI1750665584
Doing Business AsPARISH PHARMACY
Entity TypeOrganization
Authorized ContactLYNN CLAVO
Chief Pharmacist
770-313-3380
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: GA  PHRE009784)
Additional Taxonomies3336C0004X Pharmacy, Compounding Pharmacy
333600000X Pharmacy
Enumeration Date2011-09-28
Last Update Date2013-03-20
Business Address
SOUTHERN PAIN INSTITUTE P C
1975 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214-4794
Phone number: 770-631-5158
Mailing Address
SOUTHERN PAIN INSTITUTE P C
1975 HIGHWAY 54 W SUITE 100
FAYETTEVILLE, GA 30214-4794
Phone number: 770-631-5158