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Organization
HINES PRESCRIPTION SHOP, INC.
Active
Organization
HINES PRESCRIPTION SHOP, INC.
Active
Other names
HINES PRESCRIPTION SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TYLER YOUNG (PRESIDENT)
(770) 358-2266
Entity
Organization
Contact information
Practice address
302 COLLEGE DR, BARNESVILLE, GA 30204-1602
(770) 358-2266
(770) 358-4497
Mailing address
302 COLLEGE DR, BARNESVILLE, GA 30204-1602
(770) 358-2266
(770) 358-4497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006093
GA
Other
Enumeration date
05/25/2006
Last updated
03/19/2021
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