# A CARTER CLEMENTS JR

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

## Provider details

- **NPI number:** 1992975197
- **Authorized official:** CARTER CLEMENTS (OWNER)
- **Authorized official phone:** (229) 385-5351

## Contact information

- **Practice address:** 201 MAIN ST W, ABBEVILLE, GA 31001-4211
- **Practice address phone:** (229) 467-2221
- **Practice address fax:** (229) 467-2089
- **Mailing address:** PO BOX 427, ABBEVILLE, GA 31001-0427
- **Mailing address phone:** (229) 467-2221
- **Mailing address fax:** (229) 467-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009470 | GA | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 06/17/2016