Organization
HARTWELL RX INC
Active
Other names
HARTWELL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE BOLES (OWNER, AO)
(706) 376-5801
Entity
Organization
Contact information
Practice address
118 ATHENS ST, HARTWELL, GA 30643-1851
(706) 376-5801
(706) 376-8687
Mailing address
118 ATHENS ST, HARTWELL, GA 30643-1851
(706) 376-5801
(706) 376-8687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124561
PK
—
05
—
601505588A
—
GA
Enumeration date
04/17/2007
Last updated
07/19/2018
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