Organization
HMT PHARM
Active
Other names
Brownings Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY TANNER PHARMD (CFO/PIC)
(912) 283-5504
Entity
Organization
Contact information
Practice address
1919 ALICE ST, WAYCROSS, GA 31501-6207
(912) 283-5504
(912) 283-0880
Mailing address
1919 ALICE ST, WAYCROSS, GA 31501-6207
(912) 283-5504
(912) 283-0880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE010368
PHARMACY LICENSE
GA
Enumeration date
07/26/2017
Last updated
07/21/2022
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