Organization
HOSPITAL PHARMACY OF MOULTRIE INC
Active
Other names
Convenient Care Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L YARBROUGH R.PH. (PRESIDENT)
(229) 985-9296
Entity
Organization
Contact information
Practice address
203 31ST AVE SE, MOULTRIE, GA 31768-6703
(229) 985-9296
(229) 985-3771
Mailing address
PO BOX 861, MOULTRIE, GA 31776-0861
(229) 985-9296
(229) 891-3771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00069858A
—
GA
01
—
1116981
NCPDP #
—
Enumeration date
12/28/2006
Last updated
10/06/2021
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