Organization
LAKE OCONEE PHARMACY & COMPOUNDING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GRIFFIN MARQUESS PHARMD,CDE,CDM (PRESIDENT)
(706) 485-4990
Entity
Organization
Contact information
Practice address
1124 GREENSBORO RD, SUITE 104, EATONTON, GA 31024-5549
(706) 485-4990
(706) 485-4737
Mailing address
1124 GREENSBORO RD, SUITE 104, EATONTON, GA 31024-5549
(706) 485-4990
(706) 485-4737
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009049
GA
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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