Organization
TOP PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT WILSON PHARM D (CEO)
(706) 324-0387
Entity
Organization
Contact information
Practice address
2000 WARM SPRINGS RD, COLUMBUS, GA 31904-7932
(706) 322-2339
(706) 322-4122
Mailing address
PO BOX 8828, COLUMBUS, GA 31908-8828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
008123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144079
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/22/2006
Last updated
02/20/2008
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