Organization
HANEY'S DRUG CORNER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TIMOTHY OLIVER R.PH. (PRESIDENT)
(770) 834-3393
Entity
Organization
Contact information
Practice address
623 DIXIE ST, CARROLLTON, GA 30117-3816
(770) 834-3393
(770) 834-5320
Mailing address
623 DIXIE ST, CARROLLTON, GA 30117-3816
(770) 834-3393
(770) 834-5320
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
004556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028861A
—
GA
01
—
1107348
NABP
GA
Enumeration date
12/13/2006
Last updated
03/07/2023
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