NPI 1003202342

Flint River Pharmacy LLC

Organisation Pharmacy Montezuma, GA

Practice location

Address: 506-C Spaulding Road, Montezuma, GA 31063-1804
Phone: (478) 472-0111
Fax: (478) 472-0112

Authorised official

Name: Robert Timothy Hall
Title: Owner
Phone: (478) 472-0111

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence PHRE010139 (GA)

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Registry record

NPI: 1003202342
Entity type: Organization
NPI issued: 14 Apr 2015
Record last updated: 28 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.