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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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