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Organization

FLINT RIVER PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT TIMOTHY HALL JR. PHARMMD (OWNER)
(478) 472-0111
Entity
Organization

Contact information

Practice address
506-C SPAULDING ROAD, MONTEZUMA, GA 31063-1804
(478) 472-0111
(478) 472-0112
Mailing address
506-C SPAULDING ROAD, MONTEZUMA, GA 31063-1804
(478) 472-0111
(478) 472-0112

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010139
GA

Other

Enumeration date
04/14/2015
Last updated
11/28/2016
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