Jasper Drug Store at Foothills
NPI #1104083450 in Marble Hill, Georgia
Provider Information
- NPI Number
- 1104083450
- Entity Type
- Organization
- Organization Name
- Jasper Drug Store at Foothills
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 22, 2008
- Last Updated
- Apr 10, 2013
Practice Location
- Address
- 80 FOOTHILLS PKWY
- City
- Marble Hill
- State
- Georgia
- ZIP Code
- 30148-2255
- Phone
- (770) 893-3784
Authorized Official
- Name
- LEE DUNN
- Title
- PRESIDENT
- Phone
- (706) 692-5910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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| Crescent Services II LLC | |
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