Organization
CUSTOM PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JAMISON HOLGATE RPH (PHARMACIST)
(706) 737-3955
Entity
Organization
Contact information
Practice address
1202 TOWN PARK LANE, SUITE 200, EVANS, GA 30809
(706) 737-3955
(706) 737-6323
Mailing address
1543 15TH STREET, AUGUSTA, GA 30901
(706) 737-3955
(706) 373-6323
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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