Organization
MAGNOLIA DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TANNER (CEO)
(912) 470-7277
Entity
Organization
Contact information
Practice address
112 N CHURCH ST STE A, HOMERVILLE, GA 31634-2403
(912) 470-7277
Mailing address
112 N CHURCH ST STE A, HOMERVILLE, GA 31634-2403
(912) 470-7277
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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