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:
Map and Directions
Authorized official contact:
Name: Pinnell, Lee Fouche' PHARM.D.
Phone: (229) 924-2783

Health care specialties

SpecialtyCodeLicense #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 18 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 1073582920 NPPES
Other 1104481 NABP/NCPDP
MEDICAID 00025088A NABP/NCPDP

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