Organization
BRYANT AND HUDSON
Active
Other names
Barney's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT HUDSON (PHARMACIST)
(706) 836-8820
Entity
Organization
Contact information
Practice address
106 S MAIN ST, WRENS, GA 30833-1329
(706) 547-4111
Mailing address
106 S MAIN ST, WRENS, GA 30833-1329
(706) 547-4111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHRE009547
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158220
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2009
Last updated
12/16/2011
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