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Organization
CASTLEBERRY DRUG COMPANY, LLC
Active
Organization
CASTLEBERRY DRUG COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEP E CASTLEBERRY III R.PH. (OWNER/PHARMACIST)
(478) 994-2051
Entity
Organization
Contact information
Practice address
67 N. LEE ST, FORSYTH, GA 31029
(478) 994-2051
(478) 994-3014
Mailing address
P.O. BOX 188, FORSYTH, GA 31029
(478) 994-2051
(478) 994-3014
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHRE000675
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000675
GA
Other
Enumeration date
10/03/2006
Last updated
06/24/2008
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