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Organization
BARNES DRUG STORE, LLC
Active
Organization
BARNES DRUG STORE, LLC
Active
Other names
Barnes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TOLLISON BARNES R.PH. (OWNER PHARMACIST)
(912) 367-7708
Entity
Organization
Contact information
Practice address
694 S MAIN ST, BAXLEY, GA 31513-0124
(912) 367-7708
(912) 367-4732
Mailing address
694 S MAIN ST, BAXLEY, GA 31513-0124
(912) 367-7708
(912) 367-4732
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006375
GA
Other
Enumeration date
12/06/2005
Last updated
03/04/2015
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