Organization
SENOIA DRUG CO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B HAZELTON (PRESIDENT)
(770) 313-5072
Entity
Organization
Contact information
Practice address
7285 HIGHWAY 16, SUITE A, SENOIA, GA 30276-3357
(770) 727-3060
Mailing address
PO BOX 280, SENOIA, GA 30276-0280
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009706
GA
Other
Enumeration date
11/04/2010
Last updated
08/09/2011
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