Organization
GREESON RX
Active
Other names
Pooler Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA ZANE GREESON PHARMD (OWNER)
(912) 348-4200
Entity
Organization
Contact information
Practice address
1557 POOLER PKWY STE 400, POOLER, GA 31322-4389
(912) 348-4200
(912) 348-4421
Mailing address
1779 ALDERMAN RD, BROOKLET, GA 30415-8236
(912) 687-2040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003253912A
—
GA
01
—
PHRE010929
PHARMACY LICENSE
GA
Enumeration date
04/14/2021
Last updated
09/25/2024
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