CLARKESVILLE DRUG INC
596 W Louise St Ste D
Clarkesville, GA 30523
706-754-3763
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | GA | PHRE007029 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00385371A | GA | MEDICAID | |
00385371B | GA | MEDICAID | |
PK | 2015959 | OTHER |