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Organization
RAINBOW DRUG STORE, INC.
Active
Organization
RAINBOW DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRIFFIS R.PH. (CEO)
(912) 265-5040
Entity
Organization
Contact information
Practice address
4319 NEW JESUP HIGHWAY, BRUNSWICK, GA 31520-1605
(912) 265-5040
(912) 265-1893
Mailing address
4319 NEW JESUP HIGHWAY, BRUNSWICK, GA 31520-1605
(912) 265-5040
(912) 265-1893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE004743
GA
3336C0003X
Community/Retail Pharmacy
Primary
004743
GA
3336C0004X
Compounding Pharmacy
PHRE004743
GA
Other
Enumeration date
02/12/2007
Last updated
03/25/2025
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