Organization
OAKLAND PHARMACY, LLC
Active
Other names
Oakland Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWONA MONEE WALKER-KIRK PHARMD (PRESIDENT)
(229) 669-9003
Entity
Organization
Contact information
Practice address
125 CARLTON DR, LEESBURG, GA 31763-5652
(229) 814-8443
Mailing address
125 CARLTON DR, LEESBURG, GA 31763-5652
(229) 814-8443
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE010937
GA LICENSE NUMBER
GA
Enumeration date
05/14/2021
Last updated
05/14/2021
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