Organization
BAINBRIDGE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD F REYNOLDS R.PH. (PRESIDENT)
(229) 246-7200
Entity
Organization
Contact information
Practice address
1420 E EVANS ST, BAINBRIDGE, GA 39819-4336
(229) 246-7200
(229) 246-6210
Mailing address
1420 E EVANS ST, BAINBRIDGE, GA 39819-4336
(229) 246-7200
(229) 246-6210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002852
GA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000355429A
—
GA
Enumeration date
08/09/2006
Last updated
08/05/2011
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