Organization
THE PRESCRIPTION SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKI L BEDINGFIELD (OWNER)
(478) 275-7400
Entity
Organization
Contact information
Practice address
302 INDUSTRIAL BLVD, DUBLIN, GA 31021-2800
(478) 275-7400
(478) 274-0053
Mailing address
302 INDUSTRIAL BLVD, DUBLIN, GA 31021-2800
(478) 275-7400
(478) 274-0053
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
7050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00393654A
—
GA
Enumeration date
11/15/2006
Last updated
09/24/2008
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