| NPI | 1992169197 |
|---|---|
| Doing Business As | NORTHEAST GEORGIA MEDICAL CENTER PHARMACY-BRASELTON |
| Entity Type | Organization |
| Authorized Contact | BRIAN D STEINES CFO 770-219-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010289) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2020-04-22 |