Organization
SPALDING MEDICAL PRODUCTS
Active
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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