Organization
MACON ORTHOPEDIC & HAND CENTER PA
Active
Other names
Ortho Ga Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN JOHNSON B.S. PHARMACY (PHARMACIST IN CHARGE)
(478) 750-2802
Entity
Organization
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 750-2802
(478) 254-5460
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 750-2802
(478) 254-5460
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009581
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120271
PK
—
05
—
975178315A
—
GA
Enumeration date
06/07/2009
Last updated
10/09/2018
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