| NPI | 1851473649 |
|---|---|
| Doing Business As | HAWTHORNE DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | BRANDON ULLRICH Manager 706-548-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE006424) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-11-23 |