Organization
RYALS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M NELSON RPHARMACIST (OWNER/PHARMACIST)
(229) 868-6735
Entity
Organization
Contact information
Practice address
112 S 2ND AVE, MC RAE, GA 31055-1539
(912) 868-6735
Mailing address
112 S 2ND AVE, MC RAE, GA 31055-1539
(912) 868-6735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
04/18/2008
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