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Organization
TDS GEORGIA, LLC
Active
Organization
TDS GEORGIA, LLC
Active
Parent organization
TDS GEORGIA, LLC
Other names
Thomas Drug Store
Organization subpart
Yes
Provider details
NPI number
Legal business name
TDS GEORGIA, LLC
Authorized official
ANTHONY RAY BENTON JR. PHARMD (OWNER)
(229) 226-4201
Entity
Organization
Contact information
Practice address
108 S BROAD STREET, THOMASVILLE, GA 31792-5541
(229) 226-2535
(229) 226-2537
Mailing address
PO BOX 350, THOMASVILLE, GA 31799
(229) 226-4201
(229) 226-4206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000780
GA
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Enumeration date
05/08/2006
Last updated
09/03/2026
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