Broxton Pharmacy Llc
Broxton Pharmacy Llc is a health care provider in Broxton, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 402 Alabama St N, Broxton, GA 31519-6001, US |
|Practice Location Phone||912-359-2362|
|Practice Location Fax||912-359-3607|
|Legal Business Name||BROXTON PHARMACY LLC|
|Other Organization Name||BROXTON PHARMACY,LLC|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jun 23, 2014|
|Last Update Date ? ||Sep 8, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Broxton Pharmacy Llc
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacy||Suppliers||Community/Retail Pharmacy ||PHRE010064||Georgia|
Legacy Provider IDs of Broxton Pharmacy Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Broxton Pharmacy Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Broxton Pharmacy Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Freddie Pridgen|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||912-359-2362|