Organization
BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BENNETT R.PH. (OWNER/PHARMACIST)
(912) 462-3784
Entity
Organization
Contact information
Practice address
4402 SECOND ST N, FOLKSTON, GA 31537-9383
(912) 496-3784
Mailing address
PO BOX 1321, NAHUNTA, GA 31553-1321
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PHRE009663
GA
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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