Organization
APOTHECARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GAY (OWNER)
(229) 782-5500
Entity
Organization
Contact information
Practice address
227 W BROAD AVE, DOERUN, GA 31744-4260
(229) 782-5500
(229) 782-5602
Mailing address
PO BOX 490, DOERUN, GA 31744
(229) 782-5500
(229) 782-5602
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00148343A
—
GA
01
—
2015045
PK
—
Enumeration date
05/09/2006
Last updated
03/13/2024
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