CLINICAL SPECIALTIES LLC
Pharmacy at Executive Center Dr, Augusta, GA

License number
Georgia PHRE008682
Category
Pharmacy
Type
Pharmacist
Owner
Name: AUSTIN E GORE RPH
Title: OWNER
Phone: (706) 855-1915
Address
Address 2
3708 Executive Center Dr STE A, Augusta, GA 30907
880 Hickory Ridge Rd, Aiken, SC 29803
National Provider ID: 1073685574
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLINICAL SPECIALTIES, LLC

Aiken, SC

Industry:
Medical Laboratory
Registration:
May 7, 1999
Addresses:
880 Hickory Rdg Rd, Aiken, SC 29803 (Physical)
PO Box 5793, Aiken, SC 29804
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
12/31/2049
Principal:
Austin Gore (Principal)

CLINICAL SPECIALTIES, LLC

Augusta, GA

Status:
Inactive
Industry:
Ret Drug Store/Speciality Pharmacy, Pharmacies
Doing business as:
Clinical Spc Compounding Phrm<br>Clinical Specialties
Registration:
Dec 2, 2002
Phone:
(706) 855-1915 (Phone)
Addresses:
318 Baston Rd SUITE 103, Augusta, GA 30907 (Physical)
3708 Executive Ctr Dr, Augusta, GA 30907
State ID:
0260238
Business type:
Foreign Limited Liability Company
CEO, Owner, Member:
Austin Gore CEO, Owner, Member, inactive, 318 Baston Rd SUITE 103, Augusta, GA 30907 (Physical)
SIC:
5912 - Drug Stores and Proprietary Stores
SIC6:
591205 - Pharmacies
Company size:
2

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