Organization
COMMUNITY PHARMACY, INC.
Active
Other names
Jones Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH W. BALCHIN R.PH. (OWNER)
(770) 461-3911
Entity
Organization
Contact information
Practice address
575 GLYNN ST N, FAYETTEVILLE, GA 30214-1198
(770) 461-3911
(770) 461-1121
Mailing address
575 GLYNN ST N, FAYETTEVILLE, GA 30214-1198
(770) 461-3911
(770) 461-1121
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000454638A
—
GA
Enumeration date
11/01/2006
Last updated
06/21/2021
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