Organization
LEDFORDS RX EXPRESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON LEDFORD (PHARMACIST/OWNER)
(706) 638-1281
Entity
Organization
Contact information
Practice address
1201 N MAIN ST, LA FAYETTE, GA 30728-2150
(706) 638-1281
(706) 638-1283
Mailing address
1201 N MAIN ST, LA FAYETTE, GA 30728-2150
(706) 638-1281
(706) 638-1283
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008978
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179262796A
—
GA
Enumeration date
08/22/2012
Last updated
08/22/2012
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