# CLB PHARMACY GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLB PHARMACY GROUP LLC
- **Other names:** Friendly City Pharmacy on 2nd LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073334876
- **Legal business name:** CLB PHARMACY GROUP LLC
- **Authorized official:** LUCAS BROWN (OWNER)
- **Authorized official phone:** (229) 563-6689

## Contact information

- **Practice address:** 717 2ND STREET W, TIFTON, GA 31794
- **Practice address phone:** (229) 382-3711
- **Mailing address:** 717 2ND STREET W, TIFTON, GA 31794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 10/28/2024