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Organization

COLBERT PHARMACY INC 127 4TH ST

Active
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Organization

COLBERT PHARMACY INC 127 4TH ST

Active
Other names
COLBERT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER WHITE RPH (PRES)
(706) 788-2102
Entity
Organization

Contact information

Practice address
5674 HIGHWAY 72 W, COLBERT, GA 30628-2934
(706) 788-2102
(706) 788-9740
Mailing address
PO BOX 336, COLBERT, GA 30628-0336
(706) 788-2102
(706) 788-9470

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004838
GA

Other

Enumeration date
11/17/2006
Last updated
06/07/2011
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