Organization
UNADILLA DRUG COMPANY INC
Active
Other names
Medicine Stop
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA PATEL (PHARMACY MANAGER)
(478) 627-3041
Entity
Organization
Contact information
Practice address
1544 WATSON BLVD, WARNER ROBINS, GA 31093-3432
(478) 922-2067
(478) 922-5025
Mailing address
1544 WATSON BLVD, WARNER ROBINS, GA 31093-3432
(478) 922-2067
(478) 922-5025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010294
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160540
PK
—
Enumeration date
06/07/2016
Last updated
04/06/2021
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