Organization
MDC INC
Active
Other names
DERISO DRUGS, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN N PARKMAN (OWNER)
(229) 776-3600
Entity
Organization
Contact information
Practice address
111 N MAIN ST, SYLVESTER, GA 31791-2163
(229) 776-3600
(229) 776-9598
Mailing address
111 N MAIN ST, SYLVESTER, GA 31791-2163
(229) 776-3600
(229) 776-9598
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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