Organization
BARROW-STATHAM PHARMACY
Active
Other names
Barrow Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY STEVE MADDOX R.PH. (OWNER/PHARMACIST)
(770) 725-1122
Entity
Organization
Contact information
Practice address
333 JEFFERSON ST, STATHAM, GA 30666-1710
(770) 725-1122
(770) 725-1150
Mailing address
PO BOX 360, STATHAM, GA 30666-0007
(770) 725-1122
(770) 725-1150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
011328
GA
Other
Enumeration date
06/06/2006
Last updated
08/22/2020
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