# RIVER ROAD PHARMACY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285728329
- **Authorized official:** DR. JOHN COLQUITT LOGAN JR. PHARMD (PRESIDENT)
- **Authorized official phone:** (706) 317-2583

## Contact information

- **Practice address:** 5100 RIVER RD, COLUMBUS, GA 31904-5841
- **Practice address phone:** (706) 317-2583
- **Practice address fax:** (706) 317-2587
- **Mailing address:** 5100 RIVER RD, COLUMBUS, GA 31904-5841
- **Mailing address phone:** (706) 317-2583
- **Mailing address fax:** (706) 317-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE008749 | GA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 11/19/2007