Organization
ROYAL PHARMACY
Active
Other names
ROYAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROYAL (OWNER AND PHARMACIST)
(229) 382-0480
Entity
Organization
Contact information
Practice address
1620 JOHN ORR DR, TIFTON, GA 31794-3641
(229) 382-0480
(229) 388-8258
Mailing address
1620 JOHN ORR DR, TIFTON, GA 31794-3641
(229) 382-0480
(229) 388-8258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035329A
—
GA
01
—
1114951
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/25/2007
Last updated
06/18/2012
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