Organization
PUTNAM PHARMACY INC
Active
Other names
RAY DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY RAY BSPH (CFO)
(706) 485-3081
Entity
Organization
Contact information
Practice address
234 N JEFFERSON AVE, EATONTON, GA 31024-1022
(706) 485-3081
(706) 485-5135
Mailing address
234 N JEFFERSON AVE, EATONTON, GA 31024-1022
(706) 485-3081
(706) 485-5135
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033888A
—
GA
01
—
2013942
PK
—
Enumeration date
10/20/2006
Last updated
09/12/2014
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