# RINNS PHARMACY

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

## Provider details

- **NPI number:** 1639138373
- **Authorized official:** BECKY POWELL (MANAGER)
- **Authorized official phone:** (229) 649-2811

## Contact information

- **Practice address:** 101 BROAD STREET, BUENA VISTA, GA 31803-0411
- **Practice address phone:** (229) 649-2811
- **Practice address fax:** (229) 649-6100
- **Mailing address:** PO BOX 474, BUENA VISTA, GA 31803-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE003552 | GA | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 12/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00035098A | — | GA |
| 01 | — | 1107071 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |