Bennett'S Hometown Pharmacy, LLC-Folkston

Organization Active NPI Health Service Clinic/Center · Folkston, GA

NPI 1972819936 · NPPES record last updated Aug 27, 2010

Key facts

NPI
1972819936
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
License
PHRE009663 (GA)
Legal business name
BENNETT'S HOMETOWN PHARMACY, LLC-FOLKSTON
Practice address
4402 Second St N
Folkston, GA 31537-9383
Phone
(912) 496-3784
NPI assigned
Aug 27, 2010
Organization subpart
No

Authorized official

Name
Mrs. Denise Bennett, R.PH.
Title
Owner/Pharmacist
Phone
(912) 462-3784

National Provider Directory

Locations

4402 Second St N
Folkston, GA 31537
Phone (912) 496-3784

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X PHRE009663 GA Yes

Addresses

Primary practice location

4402 Second St N
Folkston, GA 31537-9383

Mailing address

PO Box 1321
Nahunta, GA 31553-1321

Other providers in Folkston, GA

All providers in Folkston, GA · Health Service Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.