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Mount Vernon Drug Company

Mount Vernon Drug Company is a health care provider in Mount Vernon, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 421 S Railroad Ave, Mount Vernon, GA 30445-0195, US
Practice Location Phone912-583-2216
Practice Location Fax912-583-2217
Legal Business NameMOUNT VERNON DRUG COMPANY
NPI ?1194868539
Entity TypeOrganization
Enumeration Date ? Feb 15, 2007
Last Update Date ? Jul 7, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mount Vernon Drug Company

SpecialtySpecializationLicenseLicense State
Pharmacist 005037Georgia

legacy-id-icon Legacy Provider IDs of Mount Vernon Drug Company

Provider IdIssuer StateIssuer TypeIssuer
000032425AGeorgiaMedicaid

official-icon Authorized Official of Mount Vernon Drug Company

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mount Vernon Drug Company's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Edward Darrell Sammons
Authorized Official Title/PositionOWNER REGISTERED PHARMACIST
Authorized Official Phone Number912-583-2216