# LOWER OCONEE COMMUNITY HOSPITAL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063434652
- **Authorized official:** MR. PEYTON A. SMITH (CEO)
- **Authorized official phone:** (912) 523-5113

## Contact information

- **Practice address:** 111 NORTH THIRD STREET, GLENWOOD, GA 30428
- **Practice address phone:** (912) 523-5113
- **Practice address fax:** (912) 523-5036
- **Mailing address:** PO BOX 398, 111 NORTH THIRD STREET, GLENWOOD, GA 30428
- **Mailing address phone:** (912) 523-5113
- **Mailing address fax:** (912) 523-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008539 | GA | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 12/28/2009