# OLD NAT DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Nat Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073223855
- **Authorized official:** DR. LINDA DAVIS PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (843) 307-5789

## Contact information

- **Practice address:** 5495 OLD NATIONAL HWY STE C2, COLLEGE PARK, GA 30349-3256
- **Practice address phone:** (000) 000-0000
- **Mailing address:** 5558 VILLAGE TRCE, UNION CITY, GA 30291-5147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022
