# WOODYS LONGBRANCH PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woody's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790093102
- **Authorized official:** KEVIN WOODY (OWNER/PRESIDENT)
- **Authorized official phone:** (678) 316-3031

## Contact information

- **Practice address:** 130 LONG BRANCH RD, DAHLONEGA, GA 30533-7132
- **Practice address phone:** (706) 867-9493
- **Practice address fax:** (706) 867-9495
- **Mailing address:** WOODY'S LONGBRANCH PHARMACY, P.O. BOX 309, DAHLONEGA, GA 30533
- **Mailing address phone:** (706) 867-9493
- **Mailing address fax:** (706) 867-9495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009678 | GA | Yes |

## Other

- **Enumeration date:** 09/20/2010
- **Last updated:** 03/01/2011