Organization
SPALDING MEDICAL PRODUCTS
Active
Other names
Henry's Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD TUCKER R.PH. (CEO)
(770) 228-2793
Entity
Organization
Contact information
Practice address
504 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 228-2793
(770) 228-8047
Mailing address
504 S 8TH ST, GRIFFIN, GA 30224-4212
(770) 228-2793
(770) 228-8047
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3720250001
—
3336C0003X
Community/Retail Pharmacy
PHRE005101
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021788A
—
GA
01
—
1123190
NABP
GA
Enumeration date
09/28/2006
Last updated
09/11/2025
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