Organization
CLARK DRUG COMPANY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ROSS (CEO)
(912) 531-0095
Entity
Organization
Contact information
Practice address
206 W 6TH STREET, WAYNESBORO, GA 30830
(706) 558-3400
Mailing address
PO BOX 946, WAYNESBORO, GA 30830-0946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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