Organization
CLB PHARMACY GROUP LLC
Active
Parent organization
CLB PHARMACY GROUP LLC
Other names
Friendly City Pharmacy on 2nd LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLB PHARMACY GROUP LLC
Authorized official
LUCAS BROWN (OWNER)
(229) 563-6689
Entity
Organization
Contact information
Practice address
717 2ND STREET W, TIFTON, GA 31794
(229) 382-3711
Mailing address
717 2ND STREET W, TIFTON, GA 31794
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/28/2024
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