Organization
LOVVORN DRUG COMPANY LLC
Active
Other names
Lovvorn Drug Company LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDALL S LOVVORN PHARM.D (OWNER/PHARMACIST)
(770) 537-8889
Entity
Organization
Contact information
Practice address
404 ALABAMA AVE S, BREMEN, GA 30110-2006
(770) 537-8889
(770) 537-8817
Mailing address
PO BOX 603, BREMEN, GA 30110-0603
(770) 537-8889
(770) 537-8817
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008702
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00977479A
—
GA
01
—
1150628
NCPDP
GA
Enumeration date
08/30/2006
Last updated
11/22/2021
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