# SONORAVILLE PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sonoraville Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801274956
- **Authorized official:** MR. LARRY RALPH JOHNSTON RPH. (PHARMACIST/OWNER)
- **Authorized official phone:** (706) 383-8604

## Contact information

- **Practice address:** 6824 FAIRMOUNT HWY SE, CALHOUN, GA 30701-4019
- **Practice address phone:** (706) 383-8604
- **Practice address fax:** (706) 383-8658
- **Mailing address:** 6824 FAIRMOUNT HWY SE, CALHOUN, GA 30701-4019
- **Mailing address phone:** (706) 383-8604
- **Mailing address fax:** (706) 383-8658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010145 | GA | Yes |

## Other

- **Enumeration date:** 05/09/2015
- **Last updated:** 05/09/2015