Organization
SHELLMAN DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LANGFORD RPH (PRESIDENT AND PHARMACIST)
(229) 679-5070
Entity
Organization
Contact information
Practice address
210 W RAILROAD ST, SHELLMAN, GA 39886
(229) 679-5070
(229) 679-5059
Mailing address
PO BOX 420, SHELLMAN, GA 39886-0420
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1150705
OTHER ID NUMBER
—
Enumeration date
08/02/2006
Last updated
09/04/2007
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