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Organization

RIVER ROAD PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN COLQUITT LOGAN JR. PHARMD (PRESIDENT)
(706) 317-2583
Entity
Organization

Contact information

Practice address
5100 RIVER RD, COLUMBUS, GA 31904-5841
(706) 317-2583
(706) 317-2587
Mailing address
5100 RIVER RD, COLUMBUS, GA 31904-5841
(706) 317-2583
(706) 317-2587

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008749
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
434384249A
GA
Enumeration date
10/03/2006
Last updated
11/19/2007
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