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Organization

PHARMACY ON MAIN LLC

Active
Other names
Pharmacy on Main
Organization subpart
No

Provider details

NPI number
Authorized official
JANA PATTON (SUPERVISOR)
(912) 592-5777
Entity
Organization

Contact information

Practice address
120 N MAIN ST, SYLVESTER, GA 31791-2192
(229) 463-7064
Mailing address
120 N MAIN ST, SYLVESTER, GA 31791-2192
(229) 463-7064
(229) 463-7034

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
07/13/2022
Last updated
10/07/2022
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