# M D S INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROFESSIONAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174610364
- **Authorized official:** HEWLETTE COOK RPH (PHARMACIST)
- **Authorized official phone:** (706) 278-2490

## Contact information

- **Practice address:** 1100 BURLEYSON RD, DALTON, GA 30720-3016
- **Practice address phone:** (706) 278-2490
- **Practice address fax:** (706) 275-6157
- **Mailing address:** 1100 BURLEYSON RD, DALTON, GA 30720-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE003475 | GA | Yes |

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 04/27/2025