# SENOIA DRUG COMPANY INC.

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

## Provider details

- **NPI number:** 1083020333
- **Authorized official:** JAMES BRYAN HAZELTON PHARM.D. (PHARMACIST)
- **Authorized official phone:** (770) 876-9910

## Contact information

- **Practice address:** 16 MAIN ST, UNIT 1, GRANTVILLE, GA 30220-3402
- **Practice address phone:** (770) 583-9973
- **Mailing address:** PO BOX 280, SENOIA, GA 30276-0280
- **Mailing address phone:** (770) 313-1570
- **Mailing address fax:** (770) 727-3067

## Taxonomy

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

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 07/08/2014