Organization
M D S INC
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEWLETTE COOK RPH (PHARMACIST)
(706) 278-2490
Entity
Organization
Contact information
Practice address
1100 BURLEYSON RD, DALTON, GA 30720-3016
(706) 278-2490
(706) 275-6157
Mailing address
1100 BURLEYSON RD, DALTON, GA 30720-3016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003475
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00323419A
—
GA
01
—
1108770
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/07/2006
Last updated
04/27/2025
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