Organization
MCRAES PHARMACY OF DOUGLAS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ANDREW HOLT PHARM D (PHAR-OWNER)
(912) 384-5255
Entity
Organization
Contact information
Practice address
1002 WARD ST W, DOUGLAS, GA 31533-2251
(912) 384-5255
Mailing address
1002 WARD ST W, DOUGLAS, GA 31533-2251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH028222
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000031622A
—
GA
Enumeration date
06/17/2006
Last updated
11/12/2020
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