# SELF-MED RX CLAYTON DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLAYTON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285722710
- **Authorized official:** MIKE ADDINGTON (PIC)
- **Authorized official phone:** (706) 782-3211

## Contact information

- **Practice address:** 100 S MAIN ST, CLAYTON, GA 30525-5480
- **Practice address phone:** (706) 782-3211
- **Practice address fax:** (706) 782-0705
- **Mailing address:** PO BOX 686, C/O SEF MED RX, CLAYTON, GA 30525
- **Mailing address phone:** (706) 782-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE002710 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 04/01/2016