# JASPER DRUG CO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JASPER DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205872660
- **Authorized official:** LEE DUNN RPH (PRESIDENT)
- **Authorized official phone:** (706) 692-6427

## Contact information

- **Practice address:** 1 N MAIN ST, JASPER, GA 30143-1500
- **Practice address phone:** (706) 692-6427
- **Practice address fax:** (706) 692-3121
- **Mailing address:** 1 N MAIN ST, JASPER, GA 30143-1500
- **Mailing address phone:** (706) 692-6427
- **Mailing address fax:** (706) 692-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE006155 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 02/20/2017