Organization
MJ PHARMACY SERVICES INC
Active
Other names
HomeTown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT MCGALLIARD RPH (PIC)
(478) 986-4827
Entity
Organization
Contact information
Practice address
236 W CLINTON ST, GRAY, GA 31032
(478) 986-4827
(478) 986-4828
Mailing address
PO BOX 1388, GRAY, GA 31032-1388
(478) 986-4827
(478) 986-4828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE08000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714744A
—
GA
01
—
1142796
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/20/2006
Last updated
03/07/2023
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