Organization
EULONIA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA C CARTER III (OWNER)
(912) 832-6009
Entity
Organization
Contact information
Practice address
15268 US HIGHWAY 17, TOWNSEND, GA 31331-3854
(912) 832-6009
(912) 832-6677
Mailing address
15268 US HIGHWAY 17, TOWNSEND, GA 31331-3854
(912) 832-6009
(912) 832-6677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE009069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409208A
—
GA
Enumeration date
08/10/2006
Last updated
12/01/2010
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