Organization
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Active
Other names
Mitchell County Hospital - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. HEMBREE (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
90 E STEPHENS ST, CAMILLA, GA 31730-1836
(229) 336-4631
Mailing address
90 E STEPHENS ST, CAMILLA, GA 31730-1836
(229) 336-4631
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE007316
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE007316
RETAIL LICENSE
GA
Enumeration date
07/20/2007
Last updated
03/08/2017
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