Organization
CWG INVESTMENTS
Active
Other names
Thomaston Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON GLEATON PHARMD (PRESIDENT)
(706) 647-8965
Entity
Organization
Contact information
Practice address
500 W GORDON ST, THOMASTON, GA 30286-3415
(706) 647-8965
(706) 647-4529
Mailing address
500 W GORDON ST, THOMASTON, GA 30286-3415
(706) 647-8965
(706) 647-4529
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
005707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115953
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
892288457A
—
GA
Enumeration date
02/02/2007
Last updated
07/07/2011
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