City Drug Store

LBN: City Drug Store
City Drug Store is an health care organization with primary practice located at 1402 Newcastle St , Brunswick GA 31520-7018. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. City Drug Store can be contacted via phone (912) 265-7630, or through Lott, Charles Robert via phone (912) 265-7630.

Contact Information

Primary practice address
1402 Newcastle St Brunswick GA 31520-7018
Phone: (912) 265-7630
Fax: (912) 262-1123
Website:
Map and Directions
Authorized official contact:
Name: Lott, Charles Robert PHARMACIST
Phone: (912) 265-7630

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 005563 Georgia

Profile Details

NPI number 1952316721
LBN Legal business name City Drug Store
DBA Doing business as City Drug Store
Authorized official Lott, Charles Robert PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jan 31st, 2012 - about 14 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 1952316721 NPPES
Georgia MEDICAID 00192585A

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