Organization
HORTONS DRUG STORE INC
Active
Other names
Hortons Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
JONAHAN MARQUESS (PHARMD)
(706) 543-5434
Entity
Organization
Contact information
Practice address
101 E CLAYTON ST, ATHENS, GA 30601-2702
(706) 543-3454
(706) 543-0244
Mailing address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 285-0760
(770) 971-0315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHRE003490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176382
PK
—
Enumeration date
03/22/2018
Last updated
03/22/2018
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