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Organization

LITTLE CREEK DRUG LLC

Active
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Organization

LITTLE CREEK DRUG LLC

Active
Other names
Southern Drug Co- Darien
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TRAVIS RAY HARRISON PHARM D (OWNER)
(912) 294-1684
Entity
Organization

Contact information

Practice address
1001 NORTH WAY, DARIEN, GA 31305
(912) 437-6353
(912) 437-7621
Mailing address
711 LAMBERT BENNETT RD, JESUP, GA 31546
(912) 294-1684
(912) 437-7621

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
8398
GA
3336C0003X
Community/Retail Pharmacy
8398
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL

Other

Enumeration date
07/26/2006
Last updated
08/24/2020
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