Organization
TALLAPOOSA DRUG COMPANY INC
Active
Other names
TALLAPOOSA DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY GRIFFIN RPH (OWNER & PIC)
(770) 574-2339
Entity
Organization
Contact information
Practice address
24 W ALABAMA ST, TALLAPOOSA, GA 30176-1464
(770) 574-2339
(770) 574-7307
Mailing address
24 W ALABAMA ST, TALLAPOOSA, GA 30176-1464
(770) 574-2339
(770) 574-7307
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE004796
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087997A
—
GA
05
—
100100041
—
AL
01
—
2014456
PK
—
Enumeration date
09/12/2007
Last updated
01/18/2017
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