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Organization
CLARKESVILLE DRUG INC
Active
Organization
CLARKESVILLE DRUG INC
Active
Other names
CLARKESVILLE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEDBETTER (OWNER AND CHIEF PHARMACIST)
(706) 754-3763
Entity
Organization
Contact information
Practice address
596 W LOUISE ST, STE D, CLARKESVILLE, GA 30523-5849
(706) 754-3763
(706) 839-1293
Mailing address
PO BOX 1659, CLARKESVILLE, GA 30523-0028
(706) 754-3763
(706) 839-1293
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007029
GA
Other
Enumeration date
05/16/2006
Last updated
12/06/2016
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