Organization
HOGANSVILLE PHARMACY INC
Active
Other names
HOGANSVILLE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL WALDROP (OWNER)
(706) 637-8683
Entity
Organization
Contact information
Practice address
300 E MAIN ST, HOGANSVILLE, GA 30230-1134
(706) 637-8683
Mailing address
300 E MAIN ST, HOGANSVILLE, GA 30230-1134
(706) 637-8683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000190792A
—
GA
01
—
1123924
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/28/2006
Last updated
03/16/2012
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