DFG LLC
Organization Active NPI Community/Retail Pharmacy · Demorest, GA
NPI 1679171979 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1679171979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- DFG LLC
- Practice address
- 638 Historic Hwy 441 Suite a
Demorest, GA 30530 - Phone
- (706) 754-4128
- Fax
- (706) 754-4928
- NPI assigned
- Oct 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Deborah Lynne Gale, RPH
- Title
- Owner
- Phone
- (706) 754-4128
Subparts reporting this organization as parent 1
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
638 Historic Hwy 441 Suite a
Demorest, GA 30530
Mailing address
638 Historic Hwy 441 Suite a
Demorest, GA 30530
Phone (706) 754-4128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 990894687A | Medicaid | GA |
Other names
- Habersham Drug
Other providers in Demorest, GA
- Mario N Dalesandro
- Linh My Dao
- Bailey M Daughtery
- Dana Davis
- Demorest Dialysis Facility, L.L.C.
- Sheila Dickerson
- Rebecca Abigail Dondanville
- Esther Dorzin
- Gisselle Duarte
- David Andrew Duncan
All providers in Demorest, GA · Community/Retail Pharmacy in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.