Organization
SOUTHERN MOODYCARE INC
Active
Other names
Arlington Rexall Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARSON RAY (PRESIDENT/PHARMACIST)
(229) 725-4212
Entity
Organization
Contact information
Practice address
84 MAXWELL ST SE, ARLINGTON, GA 39813-8712
(229) 725-4212
(229) 725-5242
Mailing address
84 MAXWELL ST SE, ARLINGTON, GA 39813-8712
(229) 725-4212
(229) 725-5242
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE004054
STATE LICENSE
GA
Enumeration date
02/16/2012
Last updated
07/14/2022
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