Organization
MEDICAL CENTER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SANDERS (PHARMACY MANAGER)
(478) 237-3838
Entity
Organization
Contact information
Practice address
132 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-3838
(478) 237-3878
Mailing address
132 VICTORY DR, SWAINSBORO, GA 30401-3235
(478) 237-3838
(478) 237-3878
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00954478A
—
GA
01
—
1150046
NCPDP
—
Enumeration date
01/11/2007
Last updated
02/05/2010
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