Organization
SOUTHERN DRUG COMPANY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA SUZANNE DAVENPORT PHARM.D. (PHARMACIST/PRESIDENT)
(706) 455-2288
Entity
Organization
Contact information
Practice address
4075 E FIRST ST, BLUE RIDGE, GA 30513-4526
(706) 455-2288
Mailing address
4075 E FIRST ST, BLUE RIDGE, GA 30513-4526
(706) 455-2288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010405
GA
Other
Enumeration date
11/09/2017
Last updated
02/20/2018
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