# GLENWOOD DRUG ,INC DBA GLENWOOD PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518048982
- **Authorized official:** MR. ALVIN GRAHAM JR. PHARMOCIST (OWNER)
- **Authorized official phone:** (912) 523-5094

## Contact information

- **Practice address:** 150 NW 3RD AVE., GLENWOOD, GA 30428
- **Practice address phone:** (912) 523-5094
- **Practice address fax:** (912) 523-5137
- **Mailing address:** 150 NW 3RD AVE., GLENWOOD, GA 30428
- **Mailing address phone:** (912) 523-5094
- **Mailing address fax:** (912) 523-5137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008052 | GA | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/22/2020