Organization
RX CORNER ENTERPRISES LLC
Active
Other names
Live Oak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOYE (PHARMACIST/OWNER)
(229) 225-7935
Entity
Organization
Contact information
Practice address
98 E OAKLAND AVE, CAMILLA, GA 31730-1529
(229) 336-2255
(229) 336-2257
Mailing address
98 E OAKLAND AVE, CAMILLA, GA 31730-1529
(229) 336-2255
(229) 336-2257
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120020A
—
GA
01
—
2133504
PK
—
Enumeration date
01/13/2012
Last updated
01/17/2017
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