Henry W Youngblood
Henry W Youngblood is a Pharmacy in Broxton, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
402 Alabama St NBroxton, GA 31519-6001
Phone: (912) 359-2362
Fax: (912) 359-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHRE010064 (GA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1871620211 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Henry Youngblood — Owner · (912) 359-2362 |
| Other names | Broxton Pharmacy |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | October 14, 2014 |
| Mailing address | Po Box 758, Broxton, GA 31519-0758 |