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LEE & PICKELS DRUGS STORE INC. NPI 1487719225


NPI Information

NPI: 1487719225
Provider Name: LEE & PICKELS DRUGS STORE, INC.
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 11D2238049

Address:
302 E SCREVEN ST
QUITMAN, GA
ZIP 31643
Phone: (229) 263-4061
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LEE & PICKELS DRUGS STORE, INC. is a community/retail pharmacy pharmacy in Quitman, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LEE & PICKELS DRUGS STORE, INC. NPI is 1487719225. The provider is registered as an organization entity type.

The provider's business location address is:

302 E SCREVEN ST
QUITMAN, GA
ZIP 31643-132
Phone: (229) 263-4061
Fax: (229) 263-5950

The provider's authorized official is Curtis L. Pickels .
The authorized official title is Pharmacist-owner and has the following contact phone number (229) 263-4061.

The CLIA number assigned to this NPI record is 11D2238049 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPHRE003364GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000030709AMEDICAIDGEORGIA
21318800001MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3000030709BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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