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Organization
JASPER DRUG STORE AT FOOTHILLS
Active
Organization
JASPER DRUG STORE AT FOOTHILLS
Active
Other names
JASPER DRUG STORE AT FOOTHILLS
Organization subpart
No
Provider details
NPI number
Authorized official
LEE DUNN (PRESIDENT)
(706) 692-5910
Entity
Organization
Contact information
Practice address
80 FOOTHILLS PKWY, MARBLE HILL, GA 30148-2255
(770) 893-3784
(770) 893-3600
Mailing address
80 FOOTHILLS PKWY, MARBLE HILL, GA 30148-2255
(770) 893-3784
(770) 893-3600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009465
GA
Other
Enumeration date
05/22/2008
Last updated
04/10/2013
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