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Organization

SHELLMAN PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA JONES PHARMD (OWNER/PHARMACIST)
(229) 679-5070
Entity
Organization

Contact information

Practice address
75 WEST RAILROAD ST., SHELLMAN, GA 39886
(229) 679-5070
(229) 679-5059
Mailing address
PO BOX 59, SHELLMAN, GA 39886
(229) 679-5070
(229) 679-5059

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHRE010689
GEORGIA STATE RETAIL PHARMACY PERMIT
GA
Enumeration date
01/14/2019
Last updated
05/07/2024
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