Organization
SWAN PHARMACY INC
Active
Other names
GUNN DRUG COMPANY, GUNN DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA BATTLE SWAN PHARMACIST (PRESIDENT)
(478) 252-5252
Entity
Organization
Contact information
Practice address
48 N MAIN ST, WADLEY, GA 30477
(478) 252-5252
(478) 252-1770
Mailing address
48 N MAIN ST, PO BOX 69, WADLEY, GA 30477-0069
(478) 252-5252
(478) 252-1770
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHRE000167
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000028619A
—
GA
Enumeration date
01/02/2007
Last updated
07/03/2018
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