Organization
OATTS DRUG COMPANY INC
Active
Other names
OATTS DRUG COMPANY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C COOPER RPH (OWNER)
(478) 272-1822
Entity
Organization
Contact information
Practice address
132 W JACKSON ST, DUBLIN, GA 31021-6116
(478) 272-1822
(478) 274-9562
Mailing address
P.O. BOX 537, DUBLIN, GA 31040-6116
(478) 272-1822
(478) 274-9562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005765
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032733A3
—
GA
01
—
1109429
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/15/2006
Last updated
12/29/2010
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