# BAINBRIDGE PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104836493
- **Authorized official:** MR. EDWARD F REYNOLDS R.PH. (PRESIDENT)
- **Authorized official phone:** (229) 246-7200

## Contact information

- **Practice address:** 1420 E EVANS ST, BAINBRIDGE, GA 39819-4336
- **Practice address phone:** (229) 246-7200
- **Practice address fax:** (229) 246-6210
- **Mailing address:** 1420 E EVANS ST, BAINBRIDGE, GA 39819-4336
- **Mailing address phone:** (229) 246-7200
- **Mailing address fax:** (229) 246-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE002852 | GA | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/05/2011