Organization
CALHOUN DRUG COMPANY LLC
Active
Other names
Calhoun Drug Co.
Organization subpart
No
Provider details
NPI number
Authorized official
WILL OSTUW (P.I.C.)
(706) 629-2426
Entity
Organization
Contact information
Practice address
450 RED BUD RD NE, CALHOUN, GA 30701-1959
(706) 629-2426
(706) 629-3033
Mailing address
PO BOX 625, CALHOUN, GA 30703-0625
(706) 629-2426
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009802
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133879
PK
—
Enumeration date
02/15/2012
Last updated
02/20/2017
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