Organization
G.R.C. INC.
Active
Other names
Rudys Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GUY COX (SECT)
(229) 382-8621
Entity
Organization
Contact information
Practice address
1802 LEE AVE, TIFTON, GA 31794-3639
(229) 382-8621
(229) 382-1041
Mailing address
1802 LEE AVE, TIFTON, GA 31794-3639
(229) 382-8621
(229) 382-1041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5553
GA
3336C0003X
Community/Retail Pharmacy
Primary
5553
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00453395A
—
GA
01
—
1114963
NABP
—
Enumeration date
11/25/2006
Last updated
02/12/2008
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