Organization
GLORIA E MACHALK
Active
Organization
GLORIA E MACHALK
Active
Other names
LOUISVILLE DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA E MACHALK RPHN (PHARMACIST/OWNER)
(478) 625-7575
Entity
Organization
Contact information
Practice address
112 EAST BROAD ST., LOUISVILLE, GA 30434-1620
(478) 625-7575
(478) 625-7638
Mailing address
112 EAST BROAD ST., LOUISVILLE, GA 30434-1620
(478) 625-7575
(478) 625-7638
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000357607B
—
GA
Enumeration date
06/26/2007
Last updated
12/27/2011
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