# BRANTLEY DRUG COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARK'S DISCOUNT DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235291642
- **Authorized official:** MR. JAMES CAREY MARTIN III (OWNER)
- **Authorized official phone:** (912) 462-6386

## Contact information

- **Practice address:** 10172 N MAIN ST, NAHUNTA, GA 31553
- **Practice address phone:** (912) 462-6386
- **Practice address fax:** (912) 462-7657
- **Mailing address:** PO BOX 865, NAHUNTA, GA 31553-0865
- **Mailing address phone:** (912) 462-6386
- **Mailing address fax:** (912) 462-7657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE005997 | GA | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 01/19/2022