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Organization

M AND M DRUG COMPANY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALTON DYKES (PHARMACIST)
(478) 783-2040
Entity
Organization

Contact information

Practice address
416 COMMERCE ST, HAWKINSVILLE, GA 31036
(478) 783-2040
(478) 783-2041
Mailing address
PO BOX 56, HAWKINSVILLE, GA 31036-0056
(478) 783-2040
(478) 783-2041

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH009241
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00031127A
GA
Enumeration date
09/07/2006
Last updated
06/17/2008
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