Organization
MORRIS DRUG CO INC
Active
Other names
Morris Drug Co Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TANNER PHARMD (OWNER)
(912) 422-3631
Entity
Organization
Contact information
Practice address
646 MAIN ST N, PEARSON, GA 31642-7549
(912) 422-3631
(912) 422-6104
Mailing address
PO BOX 608, PEARSON, GA 31642-0608
(912) 422-3631
(912) 422-6104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032381A
—
GA
01
—
2130130
PK
—
Enumeration date
04/27/2006
Last updated
06/27/2024
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