Clinic Drug Store
LBN: Clinic Drug Store
Clinic Drug Store is an health care organization with primary practice located at 1001 E Forsyth St , Americus GA 31709-3721. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty.
Clinic Drug Store can be contacted via phone (229) 924-2783, or through Pinnell, Lee Fouche' via phone (229) 924-2783.
Contact Information
Primary practice address
1001 E Forsyth St
Americus GA 31709-3721
Phone: (229) 924-2783
Fax: (229) 924-9220
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | 003303 | Georgia |
Profile Details
NPI number | 1073582920 |
---|---|
LBN Legal business name | Clinic Drug Store |
DBA Doing business as | |
Authorized official | Pinnell, Lee Fouche' PHARM.D. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Feb 14th, 2008 - about 16 years 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 | 1073582920 | NPPES |
Other | 1104481 | NABP/NCPDP | |
MEDICAID | 00025088A | NABP/NCPDP |
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