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Organization
HORTONS DRUG STORE INC
Active
Organization
HORTONS DRUG STORE INC
Active
Other names
Hortons Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
JONAHAN MARQUESS (PHARMD)
(706) 543-5434
Entity
Organization
Contact information
Practice address
101 E CLAYTON ST, ATHENS, GA 30601-2702
(706) 543-3454
(706) 543-0244
Mailing address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 285-0760
(770) 971-0315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHRE003490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176382
PK
—
Enumeration date
03/22/2018
Last updated
03/22/2018
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