Organization
W S FLANAGIN JR INC
Active
Other names
HILL DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
WILEY FLANAGIN RPH (PRESIDENT)
(706) 733-3621
Entity
Organization
Contact information
Practice address
1432 MONTE SANO AVE, AUGUSTA, GA 30904-5360
(706) 733-3621
(706) 733-4132
Mailing address
1432 MONTE SANO AVE, AUGUSTA, GA 30904-5360
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002408
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102590
OTHER ID NUMBER
—
Enumeration date
03/27/2007
Last updated
09/12/2007
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