Organization
SOPERTON PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E WESLEY CROWE RPH (PRESIDENT)
(912) 529-3234
Entity
Organization
Contact information
Practice address
112 MAIN ST W, SOPERTON, GA 30457-1169
(912) 529-3234
(912) 529-6197
Mailing address
112 MAIN ST W, SOPERTON, GA 30457-1169
(912) 529-3234
(912) 529-6197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHERE003318
GA
3336C0003X
Community/Retail Pharmacy
PHRE003318
GA
Other
Enumeration date
03/10/2006
Last updated
09/11/2025
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