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CLINIC DRUG STORE INC. NPI 1144749847


NPI Information

NPI: 1144749847
Provider Name: CLINIC DRUG STORE, INC.

Doing Business As: PLAINS PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
103 MAIN ST
PLAINS, GA
ZIP 31780
Phone: (229) 824-5255
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CLINIC DRUG STORE, INC. is a long term care pharmacy pharmacy in Plains, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CLINIC DRUG STORE, INC. NPI is 1144749847. The provider is registered as an organization entity type.
The provider Is Doing Business As Plains Pharmacy.

The provider's business location address is:

103 MAIN ST
PLAINS, GA
ZIP 31780
Phone: (229) 824-5255
Fax: (229) 824-3703

The provider's authorized official is Lee Pinnell .
The authorized official title is Owner and has the following contact phone number (229) 824-5255.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 7/21/2022.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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
1000033393AMEDICAIDGEORGIA

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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