HINES PRESCRIPTION SHOP, INC.
302 College Dr
Barnesville, GA 30204
770-358-2266
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | GA | PHRE006093 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
00029323A | GA | MEDICAID | |
PK | 2013044 | OTHER |