# J M BAILEY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FULCO DISCOUNT DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700925500
- **Authorized official:** JERRELL BAILEY (PRES OF CORP)
- **Authorized official phone:** (912) 384-7026

## Contact information

- **Practice address:** 301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
- **Practice address phone:** (912) 384-7026
- **Practice address fax:** (912) 384-9554
- **Mailing address:** 301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
- **Mailing address phone:** (912) 384-7026
- **Mailing address fax:** (912) 384-9554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE005248 | GA | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 02/21/2017
