Barnes Drug Store, Llc

NPI 1316921943 - Pharmacy - 3336C0003X

NPI Details
NPI 1316921943
Enumeration Date 12/06/2005
Last Updated 03/04/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK TOLLISON MARK
Position OWNER PHARMACIST
Phone (912) 367-7708
Fax (912) 367-4732
Practice Location
694 S MAIN ST
BAXLEY GA, 31513-0124, US
Phone (912) 367-7708
Fax (912) 367-4732
Business Location
694 S MAIN ST
BAXLEY GA, 31513-0124, US
Phone (912) 367-7708
Fax (912) 367-4732
Toxanomy
Taxonomy Code 3336C0003X
License State Georgia
License Number PHRE006375
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According to our database, Barnes Drug Store, Llc NPI is 1316921943, taxonomy code is 3336C0003X and license number is PHRE006375, license state is located at Georgia. Barnes Drug Store, Llc physically located at 694 S Main St, Baxley GA, 31513-0124. NPI Number 1033115704 has the healthcare provider type.

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1316921943 NPI number is provided on an as is basis without warranty of any kind. 1316921943 is maintained by the National Plan & Provider Enumeration System. The contents of Barnes Drug Store, Llc are for informational purposes only.