Organization
LINCOLNTON INVESTMENTS LLC.
Active
Other names
Crawford & Breazeale Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE ALLFREY PHARMD (PIC)
(706) 359-3343
Entity
Organization
Contact information
Practice address
125 N WASHINGTON ST, LINCOLNTON, GA 30817
(706) 359-3343
(706) 359-7505
Mailing address
PO BOX 1839, LINCOLNTON, GA 30817-8839
(706) 359-3343
(706) 359-7505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00025484A
—
GA
01
—
2012555
PK
—
Enumeration date
10/23/2006
Last updated
06/30/2020
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