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Organization
MOSELEY DRUG COMPANY INC
Active
Organization
MOSELEY DRUG COMPANY INC
Active
Other names
MOSELEY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LYNN MARTIN PHARM.D. (OWNER/PHARMACIST)
(229) 995-2126
Entity
Organization
Contact information
Practice address
412 JOHNSON ST. SE, DAWSON, GA 39842-1523
(229) 995-2126
(229) 995-3042
Mailing address
P.O. BOX 5, DAWSON, GA 39842
(229) 995-2126
(229) 995-3042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHRE006813
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032403A
—
GA
Enumeration date
06/20/2006
Last updated
06/18/2025
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