Organization
MONROE DRUG COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA HAMBY GREEN J.D. (ATTORNEY/CFO)
(770) 267-2530
Entity
Organization
Contact information
Practice address
221 S MIDLAND AVE, MONROE, GA 30655-1629
(770) 267-2530
Mailing address
PO BOX 1006, MONROE, GA 30655-1006
(770) 267-2530
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032238A
—
GA
Enumeration date
11/13/2006
Last updated
10/21/2011
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