Organization
FORDS PHARMACY LLC
Active
Other names
Ford's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FORD (OWNER)
(770) 547-1465
Entity
Organization
Contact information
Practice address
7441 ADAIRSVILLE HWY, ADAIRSVILLE, GA 30103-2014
(770) 773-1800
(770) 773-1809
Mailing address
7441 ADAIRSVILLE HWY, ADAIRSVILLE, GA 30103-2014
(770) 773-1800
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009680
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126305
PK
—
Enumeration date
08/23/2010
Last updated
12/31/2020
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