# CASTLEBERRY DRUG COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497840821
- **Authorized official:** MR. JEP E CASTLEBERRY III R.PH. (OWNER/PHARMACIST)
- **Authorized official phone:** (478) 994-2051

## Contact information

- **Practice address:** 67 N. LEE ST, FORSYTH, GA 31029
- **Practice address phone:** (478) 994-2051
- **Practice address fax:** (478) 994-3014
- **Mailing address:** P.O. BOX 188, FORSYTH, GA 31029
- **Mailing address phone:** (478) 994-2051
- **Mailing address fax:** (478) 994-3014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | PHRE000675 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE000675 | GA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 06/24/2008