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Organization
SEASIDE DRUGS INC
Active
Organization
SEASIDE DRUGS INC
Active
Other names
St. Simons Drug Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E. BRYAN JR. RPH (CEO)
(912) 638-8676
Entity
Organization
Contact information
Practice address
1627 FREDERICA RD # 10, ST SIMONS ISLAND, GA 31522-2528
(912) 638-8676
Mailing address
1627 FREDERICA RD # 10, P. O. BOX 2629, ST SIMONS ISLAND, GA 31522-2528
(912) 638-8676
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE002675
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787234A
—
GA
01
—
1131983
NABP
—
Enumeration date
02/13/2007
Last updated
03/07/2023
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