Organization
THE MEDICINE CABINET - WARD STREET, LLC
Active
Other names
The Medicine Cabinet - Ward Street, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON SCOTT MEEKS (OWNER)
(912) 383-0634
Entity
Organization
Contact information
Practice address
235 WARD ST W, DOUGLAS, GA 31533-3501
(912) 383-6337
Mailing address
223 ASHLEY ST W, DOUGLAS, GA 31533-2349
(912) 383-6337
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148871
PK
—
Enumeration date
11/25/2014
Last updated
03/03/2020
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