Organization
SOQUE PILLBOX LLC
Active
Other names
ExpressMed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDEN BLACK PHARMD (PHARMACIST/MANAGING PARTNER)
(706) 754-0101
Entity
Organization
Contact information
Practice address
410 W LOUISE ST UNIT A, CLARKESVILLE, GA 30523-5860
(706) 754-0101
(706) 754-9753
Mailing address
410 W LOUISE ST UNIT A, CLARKESVILLE, GA 30523-5860
(706) 754-0101
(706) 754-9753
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
12/19/2024
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