Organization · Type 2 NPI

Walmart Pharmacy #1070

Community Health Clinic/Center · East Ellijay, GA

NPI number 1629480298 Active

Practice location

88 Highland Xing
East Ellijay, GA 30540-6052

Mailing address

405 Riveredge Ln # 9061
Ellijay, GA 30540-5390

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X12398 (GA)

Community Health Clinic/Center: Definition to come...

5 other providers at this address

About NPI 1629480298

Walmart Pharmacy #1070's National Provider Identifier is 1629480298, issued on May 29, 2014. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in East Ellijay, GA. The record was last updated on May 29, 2014.