NPI 1154922441
Southern Pharmacy Group LLC
Practice location
- Address
- 110 Allison St., Jesup, GA 31545
- Phone
- (912) 559-2961
- Fax
- (912) 559-2597
- Mailing address
- 711 Lambert Bennett Rd, Jesup, GA 31546
Authorised official
- Name
- Travis Ray Harrison
- Title
- Owner
- Phone
- (912) 294-1684
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1154922441
- Entity type
- Organization
- NPI issued
- 4 Nov 2020
- Record last updated
- 4 Nov 2020
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.