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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.

physician-icon Basic Information

Practice Location 402 Alabama St N, Broxton, GA 31519-6001, US
Practice Location Phone912-359-2362
Practice Location Fax912-359-3607
Legal Business NameBROXTON PHARMACY LLC
Other Organization NameBROXTON PHARMACY,LLC
Other Organization Name TypeDoing Business As Name
NPI ?1801201447
Entity TypeOrganization
Enumeration Date ? Jun 23, 2014
Last Update Date ? Sep 8, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Broxton Pharmacy Llc

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy PHRE010064Georgia

legacy-id-icon Legacy Provider IDs of Broxton Pharmacy Llc

Provider IdIssuer StateIssuer TypeIssuer
2146466OtherPK

official-icon 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/PositionOWNER
Authorized Official Phone Number912-359-2362