Rainbow Drug Store, Inc.

LBN: Rainbow Drug Store, Inc.
Rainbow Drug Store, Inc. is an health care organization with primary practice located at 4319 New Jesup Highway , Brunswick GA 31520-1605. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rainbow Drug Store, Inc. can be contacted via phone (912) 265-5040, or through Griffis, Richard D via phone (912) 265-5040.

Contact Information

Primary practice address
4319 New Jesup Highway Brunswick GA 31520-1605
Fax: (912) 265-1893
Website:
Authorized official contact:
Name: Griffis, Richard D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHRE004743 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X 004743 Georgia
Suppliers / Compounding Pharmacy 3336C0004X PHRE004743 Georgia

Profile Details

NPI number 1700927647
LBN Legal business name Rainbow Drug Store, Inc.
DBA Doing business as
Authorized official Griffis, Richard D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 19th, 2012 - about 12 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 1700927647 NPPES
Georgia MEDICAID 000033844A

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