Organization
ALLEN PHARMACY GROUP, LLC
Active
Other names
Tifton Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
TROY MICHAEL ALLEN (CFO / OWNER)
(229) 563-1143
Entity
Organization
Contact information
Practice address
602 LOVE AVE, TIFTON, GA 31794-4406
(229) 396-5552
(229) 396-5558
Mailing address
602 LOVE AVE, TIFTON, GA 31794-4406
(229) 396-5552
(229) 396-5558
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130185A
—
GA
Enumeration date
05/30/2019
Last updated
09/29/2021
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