Organization
CENTRAL PHARMACY, INC.
Active
Other names
Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL BARNHILL ROGERS (OWNER)
(912) 654-3031
Entity
Organization
Contact information
Practice address
703 N VETERANS BLVD, GLENNVILLE, GA 30427
(912) 654-3031
(912) 654-1779
Mailing address
703 N VETERANS BLVD, GLENNVILLE, GA 30427
(912) 654-3031
(912) 654-1779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004487
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000023009A
—
GA
01
—
2012383
PK
—
Enumeration date
07/30/2006
Last updated
07/09/2018
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