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Organization

FORT VALLEY DRUG COMPANY LLC. LTC

Active
Parent organization
FORT VALLEY DRUG COMPANY LLC.
Other names
Five Points Pharmacy LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORT VALLEY DRUG COMPANY LLC.
Authorized official
DR. JONATHAN O'CONNOR PHARM.D (PHARMACIST/OWNER)
(478) 822-0555
Entity
Organization

Contact information

Practice address
115 COMMERCIAL HTS, FORT VALLEY, GA 31030-3361
(478) 822-0555
(478) 822-0558
Mailing address
115 COMMERCIAL HTS, FORT VALLEY, GA 31030-3361
(478) 822-0555
(478) 822-0558

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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