Organization
WOODBINE MEDICAL, LLC
Active
Other names
Woodbine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CLEMENTS PHARM.D (MEMBER / CEO)
(912) 464-7186
Entity
Organization
Contact information
Practice address
908 GEORGIA AVE STE 1, WOODBINE, GA 31569-3574
(912) 576-6998
(912) 729-7275
Mailing address
PO BOX 729, WOODBINE, GA 31569-0729
(912) 576-6998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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