| NPI | 1265985667 |
|---|---|
| Doing Business As | CLINIC DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | LEE PINNELL Owner 229-942-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: GA PHRE003303) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |