# THE MEDICINE OF HAZLEHURST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE CABINET OF HAZLEBURST LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548294705
- **Authorized official:** JON MEEKS (OWNER)
- **Authorized official phone:** (912) 383-0634

## Contact information

- **Practice address:** 63 E JEFFERSON ST, HAZLEHURST, GA 31539-6435
- **Practice address phone:** (912) 379-9979
- **Practice address fax:** (912) 379-9982
- **Mailing address:** 63 E JEFFERSON ST, HAZLEHURST, GA 31539-6435
- **Mailing address phone:** (912) 379-9979
- **Mailing address fax:** (912) 379-9982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009050 | GA | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 07/21/2011