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Organization

SMITH & STEWART DRUG

Active
Other names
stewarts downtown discount drugs
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFF A DALTON RPH, PHARM D (OWNER AND PRESIDENT OF CORPORATION)
(706) 886-3141
Entity
Organization

Contact information

Practice address
102 SAGE ST N, TOCCOA, GA 30577-2336
(706) 886-3141
(706) 886-4000
Mailing address
102 N SAGE ST, TOCCOA, GA 30577-3678
(706) 886-3141
(706) 886-4000

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE006339
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000191023A
GA
01
1115054
NABP #
GA
01
GA6339
STATE PHARMACY LICENSE #
GA
Enumeration date
01/23/2007
Last updated
03/07/2023
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