Organization
MAGNOLIA DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW TANNER PHARMD (CEO)
(912) 422-3631
Entity
Organization
Contact information
Practice address
112 N CHURCH ST STE A, HOMERVILLE, GA 31634-2448
(912) 470-7277
(912) 244-6679
Mailing address
PO BOX 608, PEARSON, GA 31642-0608
(912) 422-3631
(912) 422-6104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
05/17/2023
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