Organization
MEDCTR INC
Active
Parent organization
MEDCTR INC
Other names
Harlem Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDCTR INC
Authorized official
KYLE W PULLIAM RPH (PHARMACY OWNER)
(706) 396-3900
Entity
Organization
Contact information
Practice address
170 W MILLEDGEVILLE RD, HARLEM, GA 30814-5125
(706) 513-2424
(706) 396-3910
Mailing address
170 W.MILLLEDGEVILLE RD, HARLEM, GA 30814-5125
(706) 396-3900
(706) 396-3910
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003221093A
—
GA
Enumeration date
09/25/2018
Last updated
01/26/2024
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