Organization
CRT PHARMACY
Active
Other names
Hodgson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RABUN WILEY NEVES PHARMD (VICE PRESIDENT/PIC/OWNER)
(706) 543-7386
Entity
Organization
Contact information
Practice address
1260 S MILLEDGE AVE, STE F-1, ATHENS, GA 30605-1496
(706) 543-7386
(706) 543-8544
Mailing address
1260 S MILLEDGE AVE, STE F-1, ATHENS, GA 30605
(706) 543-7386
(706) 543-8544
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113414A
—
GA
01
—
2130856
PK
—
Enumeration date
06/21/2011
Last updated
07/03/2025
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