# CLINIC DRUG STORE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLINIC DRUG STORE, INC.
- **Other names:** Plains Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144749847
- **Legal business name:** CLINIC DRUG STORE, INC.
- **Authorized official:** DR. LEE PINNELL PHARM.D. (OWNER)
- **Authorized official phone:** (229) 824-5255

## Contact information

- **Practice address:** 103 MAIN ST, PLAINS, GA 31780
- **Practice address phone:** (229) 824-5255
- **Practice address fax:** (229) 824-3703
- **Mailing address:** 103 MAIN ST, PLAINS, GA 31780
- **Mailing address phone:** (229) 824-5255
- **Mailing address fax:** (229) 824-3703

## Taxonomy

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

## Other

- **Enumeration date:** 09/13/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000033393A | — | GA |