# MAGNOLIA DRUG CO INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972307734
- **Authorized official:** MATTHEW TANNER (CEO)
- **Authorized official phone:** (912) 470-7277

## Contact information

- **Practice address:** 112 N CHURCH ST STE A, HOMERVILLE, GA 31634-2403
- **Practice address phone:** (912) 470-7277
- **Mailing address:** 112 N CHURCH ST STE A, HOMERVILLE, GA 31634-2403
- **Mailing address phone:** (912) 470-7277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2025
- **Last updated:** 04/02/2025