Town And Campus Retailers, Inc.

NPI 1063407807 - Pharmacy - 333600000X

NPI Details
NPI 1063407807
Enumeration Date 09/19/2005
Last Updated 08/08/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHEN F. STEPHEN
Position OWNER
Phone (912) 764-6454
Fax (912) 489-1110
Practice Location
22 S ZETTEROWER AVE
STATESBORO GA, 30458-4866, US
Phone (912) 764-6454
Fax (912) 489-1110
Business Location
22 S ZETTEROWER AVE
STATESBORO GA, 30458-4866, US
Phone (912) 764-6454
Fax (912) 489-1110
Toxanomy
Taxonomy Code 333600000X
License State Georgia
License Number PHRE006877
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According to our database, Town And Campus Retailers, Inc. NPI is 1063407807, taxonomy code is 333600000X and license number is PHRE006877, license state is located at Georgia. Town And Campus Retailers, Inc. physically located at 22 S Zetterower Ave, Statesboro GA, 30458-4866. NPI Number 1033115704 has the healthcare provider type.

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1063407807 NPI number is provided on an as is basis without warranty of any kind. 1063407807 is maintained by the National Plan & Provider Enumeration System. The contents of Town And Campus Retailers, Inc. are for informational purposes only.