Organization
PORTER PHARMACY & GIFTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A DYKES PHARM.D (STAFF PHARMACIST)
(478) 934-6344
Entity
Organization
Contact information
Practice address
134 N 2ND ST, COCHRAN, GA 31014-6304
(478) 934-6344
(478) 934-8820
Mailing address
134 N 2ND ST, COCHRAN, GA 31014-6304
(478) 934-6344
(478) 934-8820
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
005795
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000363701A
—
GA
05
—
300026936A
—
GA
Enumeration date
12/21/2006
Last updated
08/16/2023
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