Organization
LONG'S DRUGS OF SANDERSVILLE GA, INC
Active
Other names
Long's Dekalb Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL FROST PHARMD (DIRECTOR)
(404) 583-6945
Entity
Organization
Contact information
Practice address
1524 CHURCH ST, SUITE D, DECATUR, GA 30030-6500
(404) 270-9242
(404) 270-9273
Mailing address
1524 CHURCH ST, SUITE D, DECATUR, GA 30030-6500
(404) 270-9242
(404) 270-9273
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010092
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102598233A
—
GA
01
—
PHRE010092
BOARD OF PHARMACY PERMIT
GA
Enumeration date
04/08/2010
Last updated
04/29/2015
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