Organization
BETHEL DRUG COMPANY
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN A BETHEL PHARM.D. (OWNER)
(229) 244-0640
Entity
Organization
Contact information
Practice address
2921 N ASHLEY ST, VALDOSTA, GA 31602-1725
(222) 244-0640
(229) 245-1393
Mailing address
2921 N ASHLEY ST, VALDOSTA, GA 31602-1725
(222) 244-0640
(229) 245-1393
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000811566A
—
GA
01
—
1115206
NCPDP #
GA
01
—
PHRE010379
GA BOARD OF PHARMACY
GA
Enumeration date
12/19/2006
Last updated
03/07/2023
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