Organization
GLORIA E MACHALK
Active
Other names
Louisville Drug Co
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA ELAINE MACHALK (PHARMACIST)
(478) 625-7575
Entity
Organization
Contact information
Practice address
122 E BROAD ST, LOUISVILLE, GA 30434-1620
(478) 625-7575
(478) 625-7575
Mailing address
122 E BROAD ST, LOUISVILLE, GA 30434-1620
(478) 625-7575
(478) 625-7575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHRE006836
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000357607B
—
GA
Enumeration date
08/17/2005
Last updated
12/21/2011
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