Organization
LITTLE CREEK DRUG LLC
Active
Other names
Smith's Pharmacy, Fred's Pharmacy #3816
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS RAY HARRISON PHARM D (OWNER)
(912) 294-1684
Entity
Organization
Contact information
Practice address
141 EIGHTH ST., MC RAE- HELENA, GA 31037
(229) 868-2580
(229) 868-2529
Mailing address
711 LAMBERT BENNETT RD, JESUP, GA 31546
(229) 868-2580
(229) 868-2529
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003174007A
—
GA
Enumeration date
02/29/2016
Last updated
11/25/2020
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