Organization
HORTONS DRUG STORE INC
Active
Other names
Hortons Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
PAM MARQUESS PHARMD (PHARMACIST)
(706) 543-5434
Entity
Organization
Contact information
Practice address
101 E CLAYTON ST, ATHENS, GA 30601-2702
(706) 543-3454
(706) 543-0244
Mailing address
101 E CLAYTON ST, ATHENS, GA 30601-2702
(706) 543-3454
(706) 543-0244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PHRE003490
GA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101598
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/10/2007
Last updated
06/05/2012
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