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Organization
QUINATE PHARMACY LLC
Active
Organization
QUINATE PHARMACY LLC
Active
Other names
Southern Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY LEAVITT (MANAGING PARTNER)
(912) 509-3330
Entity
Organization
Contact information
Practice address
1557 POOLER PKWY, SUITE 400, POOLER, GA 31322
(912) 988-3005
Mailing address
1557 POOLER PKWY STE 400, POOLER, GA 31322-4389
(912) 988-3005
(912) 988-1674
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
03/22/2019
Last updated
05/22/2020
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