Organization
EAST GA SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA AIMAR GOODWIN RPH MS (OWNER)
(912) 655-9080
Entity
Organization
Contact information
Practice address
400 E GRADY ST, STATESBORO, GA 30458-5157
(912) 655-9080
Mailing address
400 E GRADY ST, STATESBORO, GA 30458-5157
(912) 655-9080
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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