# SLS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILLACOOCHEE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851446454
- **Authorized official:** SAMMY STORY RPH (PRESIDENT)
- **Authorized official phone:** (912) 534-5195

## Contact information

- **Practice address:** 561 EAST MAIN STREET, WILLACOOCHEE, GA 31650
- **Practice address phone:** (912) 534-5195
- **Practice address fax:** (912) 534-6383
- **Mailing address:** PO BOX 190, WILLACOOCHEE, GA 31650-0190
- **Mailing address phone:** (912) 534-5195
- **Mailing address fax:** (912) 534-6383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE006506 | GA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 07/13/2011