Organization
FAIRYLAND PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MITCHELL VOGES JR. RPH (OWNER)
(706) 820-1627
Entity
Organization
Contact information
Practice address
100 MCFARLAND RD, LOOKOUT MTN, GA 30750-3121
(706) 820-1627
(706) 820-1164
Mailing address
100 MCFARLAND RD, LOOKOUT MTN, GA 30750-3121
(706) 820-1627
(706) 820-1164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE002347
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
898077716A
—
GA
Enumeration date
03/14/2016
Last updated
03/14/2016
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