Organization
STATHAM CITY PHARMACY LLC
Active
Other names
Statham City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRANKEL (OWNER)
(678) 726-7416
Entity
Organization
Contact information
Practice address
333 JEFFERSON ST, STATHAM, GA 30666
(678) 726-7416
(678) 726-7541
Mailing address
333 JEFFERSON ST, PO BOX 102, STATHAM, GA 30666-1710
(678) 726-7416
(678) 726-7541
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143308A
—
GA
Enumeration date
03/16/2016
Last updated
10/24/2023
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