# FULGHUM DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FULGHUM DRUGS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407035579
- **Authorized official:** RAY DIXON PHARMD (PRESIDENT)
- **Authorized official phone:** (912) 367-2488

## Contact information

- **Practice address:** 34 NW PARK AVE, BAXLEY, GA 31513-0049
- **Practice address phone:** (912) 367-2488
- **Practice address fax:** (912) 367-7235
- **Mailing address:** PO BOX 115, BAXLEY, GA 31515-0115
- **Mailing address phone:** (912) 367-2488
- **Mailing address fax:** (912) 367-7235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE005546 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 04/19/2017