Organization
BJL, INC.
Active
Other names
Hiawassee Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE HERBERT PAYNE RPH. (PHARMACIST IN CHARGE)
(706) 896-5555
Entity
Organization
Contact information
Practice address
226 N MAIN ST, HIAWASSEE, GA 30546-2213
(706) 896-5555
(706) 896-5742
Mailing address
226 N MAIN ST, HIAWASSEE, GA 30546-2213
(706) 896-5555
(706) 896-5742
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007105
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000409406A
—
GA
Enumeration date
02/12/2007
Last updated
06/21/2008
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