Clinic Drug Store

LBN: Clinic Drug Store, Inc.
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 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Clinic Drug Store, Inc. can be contacted via phone (229) 924-2783, or through Pinnell, Lee via phone (229) 942-5170.

Contact Information

Primary practice address
1001 E Forsyth St Americus GA 31709-3721
Phone: (229) 924-2783
Fax: (229) 924-9220
Website:
Map and Directions
Authorized official contact:
Name: Pinnell, Lee
Phone: (229) 942-5170

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PHRE003303 Georgia

Profile Details

NPI number 1265985667
LBN Legal business name Clinic Drug Store, Inc.
DBA Doing business as Clinic Drug Store
Authorized official Pinnell, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2016
Last updated Aug 2nd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265985667 NPPES
Georgia MEDICAID 000025088A
Georgia Other 2162319

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