Organization
BRANTLEY DRUG COMPANY, LLC
Active
Other names
MARK'S DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CAREY MARTIN III (OWNER)
(912) 462-6386
Entity
Organization
Contact information
Practice address
10172 N MAIN ST, NAHUNTA, GA 31553
(912) 462-6386
(912) 462-7657
Mailing address
PO BOX 865, NAHUNTA, GA 31553-0865
(912) 462-6386
(912) 462-7657
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00249312A
—
GA
Enumeration date
12/14/2006
Last updated
01/19/2022
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