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Organization

S & P DRUG CO

Active
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Organization

S & P DRUG CO

Active
Other names
ocmulgee drug co.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL C PIERCE PHARMACIST (OWNER)
(229) 868-6756
Entity
Organization

Contact information

Practice address
209 W OAK ST, 209 W OAK ST, MC RAE, GA 31055-1520
(229) 868-6756
(229) 868-2032
Mailing address
209 W OAK ST, P O BOX 297, MC RAE, GA 31055-1520
(229) 868-6756
(229) 868-2032

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
BR203 2007
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00354274B
GA
Enumeration date
02/03/2007
Last updated
08/22/2020
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