Gdr, INC
NPI #1013053842 in Tchula, Mississippi
Provider Information
- NPI Number
- 1013053842
- Entity Type
- Organization
- Organization Name
- Gdr, INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 112 MERCER STREET
- City
- Tchula
- State
- Mississippi
- ZIP Code
- 39169
- Phone
- (662) 235-4422
Authorized Official
- Name
- GLENN DANIEL ROBERTS, RPH
- Title
- PRESIDENT
- Phone
- (662) 235-4422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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