Organization
SOUTHERN MOODYCARE INC
Active
Other names
Arlington Rexall Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MOODY BS (PRESIDENT/OWNER/PHARMACIST)
(478) 745-5431
Entity
Organization
Contact information
Practice address
84 MAXWELL ST SE, ARLINGTON, GA 39813-8712
(229) 725-4212
(229) 725-5242
Mailing address
PO BOX 506, ARLINGTON, GA 39813-0506
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134212
PK
—
Enumeration date
01/03/2007
Last updated
10/24/2022
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