Organization
DISCOUNT DRUGS OF ELIJAY,INC.
Active
Other names
VALURITE-DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY ELLISON R.PH. (OWNER-PHARMACIST)
(706) 217-2700
Entity
Organization
Contact information
Practice address
1006 PROFESSIONAL BLVD., DALTON, GA 30720
(706) 217-2700
(706) 278-8071
Mailing address
1006 PROFESSIONAL BLVD., DALTON, GA 30720
(706) 217-2700
(706) 278-8071
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
007755
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003404911A
—
GA
01
—
1131488
NCPDP NUMBER
—
Enumeration date
11/13/2006
Last updated
02/06/2008
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