# RAINBOW DRUG STORE, INC.

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

## Provider details

- **NPI number:** 1700927647
- **Authorized official:** RICHARD GRIFFIS R.PH. (CEO)
- **Authorized official phone:** (912) 265-5040

## Contact information

- **Practice address:** 4319 NEW JESUP HIGHWAY, BRUNSWICK, GA 31520-1605
- **Practice address phone:** (912) 265-5040
- **Practice address fax:** (912) 265-1893
- **Mailing address:** 4319 NEW JESUP HIGHWAY, BRUNSWICK, GA 31520-1605
- **Mailing address phone:** (912) 265-5040
- **Mailing address fax:** (912) 265-1893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHRE004743 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | 004743 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | PHRE004743 | GA | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 03/25/2025