Organization
MCCAYSVILLE DRUG CENTER INC
Active
Other names
MCCAYSVILLE DRUG CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
HOUSTON ROGERS PHARMD (OWNER)
(706) 492-4126
Entity
Organization
Contact information
Practice address
131 BLUE RIDGE DR, MC CAYSVILLE, GA 30555-2767
(706) 492-4126
(706) 492-5902
Mailing address
PO BOX 338, MCCAYSVILLE, GA 30555
(706) 492-4126
(706) 492-5902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006444
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00399011A
—
GA
01
—
2012586
PK
—
Enumeration date
08/18/2006
Last updated
07/19/2018
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