# LONG'S DRUGS OF SANDERSVILLE GA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Long's Dekalb Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023334570
- **Authorized official:** MARSHALL FROST PHARMD (DIRECTOR)
- **Authorized official phone:** (404) 583-6945

## Contact information

- **Practice address:** 1524 CHURCH ST, SUITE D, DECATUR, GA 30030-6500
- **Practice address phone:** (404) 270-9242
- **Practice address fax:** (404) 270-9273
- **Mailing address:** 1524 CHURCH ST, SUITE D, DECATUR, GA 30030-6500
- **Mailing address phone:** (404) 270-9242
- **Mailing address fax:** (404) 270-9273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010092 | GA | Yes |

## Other

- **Enumeration date:** 04/08/2010
- **Last updated:** 04/29/2015