Organization
JAMES MONROE COLSTON
Active
Other names
CORNELIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M. COLSTON (OWNER)
(706) 778-2258
Entity
Organization
Contact information
Practice address
103 CLARKESVILLE ST, CORNELIA, GA 30531-3215
(706) 778-2258
(706) 778-2259
Mailing address
103 CLARKESVILLE ST, CORNELIA, GA 30531-3215
(706) 778-2258
(706) 778-2259
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000153
GA
Other
Enumeration date
04/06/2007
Last updated
03/03/2009
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