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Organization
ATHENS MEDICAL ARTS PHARMACY INC
Active
Organization
ATHENS MEDICAL ARTS PHARMACY INC
Active
Other names
HAWTHORNE DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ULLRICH (MANAGER)
(706) 548-5227
Entity
Organization
Contact information
Practice address
975 HAWTHORNE AVE, SUITE A, ATHENS, GA 30606-2194
(706) 548-5227
(706) 353-8134
Mailing address
975 HAWTHORNE AVE, SUITE A, ATHENS, GA 30606-2194
(706) 548-5227
(706) 353-8134
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006424
GA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
10/20/2006
Last updated
11/23/2016
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