Organization
EASTMAN DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH FRANKLIN ROGERS (OWNER)
(478) 374-6670
Entity
Organization
Contact information
Practice address
1221 PLAZA AVE STE B, EASTMAN, GA 31023-9011
(478) 374-6670
(478) 374-6674
Mailing address
1221 PLAZA AVE, EASTMAN, GA 31023-9007
(478) 374-6670
(478) 374-6674
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00026386A
—
GA
Enumeration date
05/19/2006
Last updated
09/01/2021
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