Organization
RICHARDSONS PHARMACY INC
Active
Other names
Peoples Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
BOB WANSLEY RICHARDSON RPH (PRESIDENT)
(770) 786-2284
Entity
Organization
Contact information
Practice address
4104 TATE ST, COVINGTON, GA 30014-2551
(770) 786-2284
(770) 786-2284
Mailing address
4104 TATE ST, COVINGTON, GA 30014-2551
(770) 786-2284
(770) 786-2284
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE005521
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108504
NABP NUMBER
—
Enumeration date
07/13/2006
Last updated
08/22/2020
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