NPI 1386949550
Djk 36 INC
Practice location
- Address
- 112 S Dooly St, Montezuma, GA 31063-1604
- Phone
- (478) 472-7561
- Fax
- (478) 472-5887
- Mailing address
- PO Box 250, Montezuma, GA 31063-0250
Authorised official
- Name
- Daniel Kiser
- Title
- Pharmacist in Charge/Owner
- Phone
- (478) 472-7561
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1386949550
- Entity type
- Organization
- NPI issued
- 20 Jan 2011
- Record last updated
- 9 May 2011
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.