Organization
MOSELEY DRUG COMPANY INC
Active
Other names
MOSELEY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LYNN MARTIN PHARM.D. (OWNER/PHARMACIST)
(229) 995-2126
Entity
Organization
Contact information
Practice address
412 JOHNSON ST. SE, DAWSON, GA 39842-1523
(229) 995-2126
(229) 995-3042
Mailing address
P.O. BOX 5, DAWSON, GA 39842
(229) 995-2126
(229) 995-3042
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHRE006813
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032403A
—
GA
Enumeration date
06/20/2006
Last updated
06/18/2025
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