# SOUTHERN MOODYCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arlington Rexall Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154694487
- **Authorized official:** MR. CARSON RAY (PRESIDENT/PHARMACIST)
- **Authorized official phone:** (229) 725-4212

## Contact information

- **Practice address:** 84 MAXWELL ST SE, ARLINGTON, GA 39813-8712
- **Practice address phone:** (229) 725-4212
- **Practice address fax:** (229) 725-5242
- **Mailing address:** 84 MAXWELL ST SE, ARLINGTON, GA 39813-8712
- **Mailing address phone:** (229) 725-4212
- **Mailing address fax:** (229) 725-5242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2012
- **Last updated:** 07/14/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHRE004054 | STATE LICENSE | GA |