Organization
MCMAHAN PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM O MCMAHAN RPH (OWNER)
(478) 627-3041
Entity
Organization
Contact information
Practice address
413 SECOND ST, US HWY 41-S, UNADILLA, GA 31091
(478) 627-3041
(478) 627-3874
Mailing address
PO BOX 188, UNADILLA, GA 31091-0188
(478) 627-3041
(478) 627-3874
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005076
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031545
—
GA
01
—
1115155
NCPDP
GA
Enumeration date
03/08/2007
Last updated
04/17/2012
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