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Organization
CCC MEDICAL INC
Active
Organization
CCC MEDICAL INC
Active
Other names
Woodward's Express Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HEYWARD WOODWARD R.PH. (PRESIDENT)
(770) 483-6811
Entity
Organization
Contact information
Practice address
2280 SALEM RD SE, SUITE 103, CONYERS, GA 30013-2003
(770) 483-6811
(770) 483-1776
Mailing address
2280 SALEM RD SE, SUITE 103, CONYERS, GA 30013-2003
(770) 483-6811
(770) 483-1776
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
005339
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
10/03/2006
Last updated
03/07/2023
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