Organization
J AND J PROFESSIONAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDSON L MULLICAN (OWNER)
(706) 327-2131
Entity
Organization
Contact information
Practice address
4245 HAMILTON RD, COLUMBUS, GA 31904-6637
(706) 327-2131
Mailing address
4245 HAMILTON RD, COLUMBUS, GA 31904-6637
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006809
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00347014A
—
GA
Enumeration date
02/02/2007
Last updated
06/19/2008
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