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Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Organization
GEORGE'S FAMILY PHARMACY, INC.
Active
Other names
George's Family Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE GILLMAN (OWNER)
(765) 647-6251
Entity
Organization
Contact information
Practice address
330 E 5TH ST, CONNERSVILLE, IN 47331-2604
(765) 825-6386
(765) 825-6386
Mailing address
480 MAIN ST, BROOKVILLE, IN 47012-1406
(765) 647-6251
(765) 647-6386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006665A
IN
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176679
PK
—
Enumeration date
03/27/2018
Last updated
03/27/2018
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