Henry W Youngblood

NPI #1871620211 in Broxton, Georgia

Provider Information

NPI Number
1871620211
Entity Type
Organization
Organization Name
Henry W Youngblood
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 27, 2007
Last Updated
Oct 14, 2014

Practice Location

Address
402 ALABAMA ST N
State
Georgia
ZIP Code
31519-6001
Phone
(912) 359-2362

Authorized Official

Name
HENRY YOUNGBLOOD
Title
OWNER
Phone
(912) 359-2362

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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