Organization
ROYSTON DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY B PHILLIPS-MALCOM R.PH (CEO/OWNER)
(706) 245-7223
Entity
Organization
Contact information
Practice address
26 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-4109
(706) 245-7223
(706) 245-6727
Mailing address
26 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-4109
(706) 245-7223
(706) 245-6727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHRE004096
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035351B
—
GA
Enumeration date
09/27/2006
Last updated
04/21/2022
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