# BECKY S DRUGSTORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Becky's Drugstore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649520255
- **Authorized official:** BECKY POWELL (OWNER/RPH)
- **Authorized official phone:** (229) 314-1966

## Contact information

- **Practice address:** 128 N BROAD ST, BUENA VISTA, GA 31803-2006
- **Practice address phone:** (229) 649-3784
- **Practice address fax:** (229) 649-7455
- **Mailing address:** PO BOX 560, BUENA VISTA, GA 31803-0560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009868 | GA | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 05/08/2013