# MCRAES PHARMACY OF DOUGLAS INC

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

## Provider details

- **NPI number:** 1730124587
- **Authorized official:** DR. JAMES ANDREW HOLT PHARM D (PHAR-OWNER)
- **Authorized official phone:** (912) 384-5255

## Contact information

- **Practice address:** 1002 WARD ST W, DOUGLAS, GA 31533-2251
- **Practice address phone:** (912) 384-5255
- **Mailing address:** 1002 WARD ST W, DOUGLAS, GA 31533-2251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | RPH028222 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE003365 | GA | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 11/12/2020