Organization
NORTHSIDE PHARMACY GROUP, INC.
Active
Other names
Hays Pharmacy and Compounding Lab #2
Organization subpart
No
Provider details
NPI number
Authorized official
BEAL MARL HALBROOK PHARM. D. (VICE-PRESIDENT)
(229) 436-2985
Entity
Organization
Contact information
Practice address
2007 GILLIONVILLE RD, ALBANY, GA 31707-3139
(229) 436-2985
(229) 436-2987
Mailing address
2007 GILLIONVILLE RD, ALBANY, GA 31707-3139
(229) 436-2985
(229) 436-2987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PENDING
GA
Other
Enumeration date
09/29/2007
Last updated
06/20/2008
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