Organization
REAGANS PHARMACY INC
Active
Other names
Regan Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY B REAGAN (OWNER PHARMACIST)
(770) 483-4727
Entity
Organization
Contact information
Practice address
1600 MILSTEAD RD NE, CONYERS, GA 30012-3738
(770) 483-4727
(770) 483-4729
Mailing address
1600 MILSTEAD RD NE, CONYERS, GA 30012-3738
(770) 483-4727
(770) 483-4729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033899B
—
GA
Enumeration date
07/12/2006
Last updated
02/27/2015
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