Organization
MOBLEY'S DISCOUNT PHARMACY, INC. #2
Active
Other names
Mobley's Discount Pharmacy, Inc. #2
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD MOBLEY (PHARMACIST)
(912) 383-7947
Entity
Organization
Contact information
Practice address
215 E 16TH ST, ALMA, GA 31510-2911
(912) 632-6322
(912) 632-2246
Mailing address
215 E 16TH ST, ALMA, GA 31510-2911
(912) 632-6322
(912) 632-2246
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009657
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161328
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/13/2011
Last updated
04/13/2011
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