Organization
LEDFORD RX EXPRESS INC
Active
Other names
Ledfords Rx Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT HARPER (CEO / OWNER)
(706) 857-3300
Entity
Organization
Contact information
Practice address
103 HIGHWAY 48, SUMMERVILLE, GA 30747-1506
(706) 857-3300
(706) 857-3303
Mailing address
103 HIGHWAY 48, SUMMERVILLE, GA 30747-1506
(706) 857-3300
(706) 857-3303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009565
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00209921A4
—
GA
01
—
1115080
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
176262796B
—
GA
Enumeration date
11/07/2007
Last updated
11/04/2010
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