Organization
MOBLEYS DISCOUNT PHARMACY INC
Active
Other names
MOBLEYS DISCOUNT PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF MOBLEY RPH (OWNER)
(912) 383-7947
Entity
Organization
Contact information
Practice address
235 WARD ST W, DOUGLAS, GA 31533-3501
(912) 383-7947
(912) 383-7823
Mailing address
235 WARD ST W, DOUGLAS, GA 31533-3501
(912) 383-7947
(912) 383-7823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00640978A
—
GA
01
—
1141251
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/12/2007
Last updated
04/23/2010
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