Clayton Pharmacy
LBN: Self-Med Rx Clayton Drug Inc
Clayton Pharmacy is an health care organization with primary practice located at 100 S Main St , Clayton GA 30525-5480. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Self-Med Rx Clayton Drug Inc can be contacted via phone (706) 782-3211, or through Addington, Mike via phone (706) 782-3211.
Contact Information
Primary practice address
100 S Main St
Clayton GA 30525-5480
Phone: (706) 782-3211
Fax: (706) 782-0705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE002710 | Georgia |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1285722710 |
|---|---|
| LBN Legal business name | Self-Med Rx Clayton Drug Inc |
| DBA Doing business as | Clayton Pharmacy |
| Authorized official | Addington, Mike |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Apr 1st, 2016 - about 10 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 | 1285722710 | NPPES |
| Georgia | MEDICAID | 00025033A | |
| Georgia | Other | 2012111 |
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