Organization
OLD NAT DRUGS, LLC
Active
Other names
Old Nat Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA DAVIS PHARMD (PHARMACIST IN CHARGE)
(843) 307-5789
Entity
Organization
Contact information
Practice address
5495 OLD NATIONAL HWY STE C2, COLLEGE PARK, GA 30349-3256
(000) 000-0000
Mailing address
5558 VILLAGE TRCE, UNION CITY, GA 30291-5147
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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