Pharmacy On Main LLC

NPI #1134853336 in Sylvester, Georgia

Provider Information

NPI Number
1134853336
Entity Type
Organization
Organization Name
Pharmacy On Main LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 13, 2022
Last Updated
Oct 7, 2022

Practice Location

Address
120 N MAIN ST
State
Georgia
ZIP Code
31791-2192
Phone
(229) 463-7064

Authorized Official

Name
JANA PATTON
Title
SUPERVISOR
Phone
(912) 592-5777

Specialties & Taxonomy Codes

Specialty
Pharmacy

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