# HIS CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811097587
- **Authorized official:** ANTHONY HETHCOX RPH (OWNER)
- **Authorized official phone:** (912) 739-9393

## Contact information

- **Practice address:** 305 E LONG ST, CLAXTON, GA 30417-1411
- **Practice address phone:** (912) 739-9393
- **Practice address fax:** (912) 739-9033
- **Mailing address:** PO BOX 577, CLAXTON, GA 30417-0577
- **Mailing address phone:** (912) 739-9393
- **Mailing address fax:** (912) 739-9033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008624 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2006
- **Last updated:** 09/22/2016