Organization
ZOOT ENTERPRISES INC
Active
Other names
WARDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MOSS RPH (VP)
(706) 291-7850
Entity
Organization
Contact information
Practice address
832 TURNER MCCALL BLVD SW, ROME, GA 30161-2927
(706) 291-7850
(706) 291-0575
Mailing address
832 TURNER MCCALL BLVD SW, ROME, GA 30161-2927
(706) 291-7850
(706) 291-0575
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007324
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00054986A
—
GA
01
—
1113492
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
05/10/2012
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