Organization
CLAXTON-GRAVES, INC
Active
Other names
Graves Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BAUGH GRAVES RPH (PHARMACIST)
(478) 745-0476
Entity
Organization
Contact information
Practice address
770 PINE ST, STE 100, MACON, GA 31201-2173
(478) 745-0476
(478) 745-9808
Mailing address
770 PINE ST, STE 100, MACON, GA 31201-2173
(478) 745-0476
(478) 745-9808
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00171531A
—
GA
01
—
1124089
NCPDP
—
Enumeration date
10/25/2006
Last updated
11/05/2009
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