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RICHARDSONS PHARMACY INC NPI 1962427898


NPI Information

NPI: 1962427898
Provider Name: RICHARDSONS PHARMACY INC

Doing Business As: PEOPLES DRUG STORE

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D2049262

Address:
4104 TATE ST
COVINGTON, GA
ZIP 30014
Phone: (770) 786-2284
Get Directions

RICHARDSONS PHARMACY INC is a pharmacy in Covington, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. RICHARDSONS PHARMACY INC NPI is 1962427898. The provider is registered as an organization entity type.
The provider Is Doing Business As Peoples Drug Store.

The provider's business location address is:

4104 TATE ST
COVINGTON, GA
ZIP 30014-551
Phone: (770) 786-2284
Fax: (770) 786-2284

The provider's authorized official is Bob Wansley Richardson .
The authorized official title is President and has the following contact phone number (770) 786-2284.

The CLIA number assigned to this NPI record is 11D2049262 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.


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
1333600000XPharmacyPHRE005521GEORGIAYes

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
11108504OTHERNABP NUMBER

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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