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COMPOUNDING SPECIALISTS AT LAKE OCONEE INC

Medical Equipment Supplier Yellow Pages

Greensboro, Georgia

Provider NPI: 1336323567

Organization Information:
Organization Name:  COMPOUNDING SPECIALISTS AT LAKE OCONEE INC


Practice Location:
1110 COMMERCE DR STE 110  GREENSBORO, GA 30642 US
Tel: 706-923-2933  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336S0011XSuppliers
Pharmacy
Specialty Pharmacy
N3336C0004XSuppliers
Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
GAPHRE009902

Other Provider Identifiers:

IssuerNumberStateType
PK211766501
003130409AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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