Organization
DACULA MEDICINE CENTER
Active
Other names
Dacula Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY M STONE (PHARMACIST/OWNER)
(770) 339-1593
Entity
Organization
Contact information
Practice address
2555 2ND AVENUE NORTH, DACULA, GA 30019-0016
(770) 339-1593
(770) 339-1682
Mailing address
PO BOX 927, DACULA, GA 30019-0016
(770) 339-1593
(770) 339-1682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14587
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136692
NATIONAL BOARD OF PHARMAC
GA
Enumeration date
11/01/2006
Last updated
08/22/2020
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