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Organization
FULGHUM DRUGS INC
Active
Organization
FULGHUM DRUGS INC
Active
Other names
FULGHUM DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAY DIXON PHARMD (PRESIDENT)
(912) 367-2488
Entity
Organization
Contact information
Practice address
34 NW PARK AVE, BAXLEY, GA 31513-0049
(912) 367-2488
(912) 367-7235
Mailing address
PO BOX 115, BAXLEY, GA 31515-0115
(912) 367-2488
(912) 367-7235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005546
GA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
10/25/2007
Last updated
04/19/2017
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