Organization
MADDOX PHARMACY INC
Active
Other names
WARD DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MADDOX RPH (PRES)
(770) 957-3911
Entity
Organization
Contact information
Practice address
13 KEYS FERRY ST, MCDONOUGH, GA 30253-3210
(770) 957-3911
(770) 957-0354
Mailing address
13 KEYS FERRY ST, MCDONOUGH, GA 30253-3210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
007257
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00037969A
—
GA
05
—
000467662B
—
GA
01
—
1112200
OTHER ID NUMBER
—
Enumeration date
11/28/2006
Last updated
06/20/2008
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