Friendly City Pharmacy On 2Nd
LBN: Clb Pharmacy Group Llc
Friendly City Pharmacy On 2Nd is an health care organization with primary practice located at 717 2Nd St W , Tifton GA 31794-4201. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Clb Pharmacy Group Llc can be contacted via phone (229) 382-3711, or through Brown, Lucas via phone (229) 563-6689.
Contact Information
Primary practice address
717 2Nd St W
Tifton GA 31794-4201
Phone: (229) 382-3711
Fax: (229) 387-7521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE003394 | Georgia |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1598858508 |
|---|---|
| LBN Legal business name | Clb Pharmacy Group Llc |
| DBA Doing business as | Friendly City Pharmacy On 2Nd |
| Authorized official | Brown, Lucas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jun 28th, 2024 - about 6 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598858508 | NPPES |
| Other | 2012857 | PK | |
| MEDICAID | 00033855A | PK | |
| MEDICAID | 00033855B | PK |
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