Organization
ADAMS DRUG STORE, INC
Active
Other names
ADAMS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SINYARD (PRESIDENT)
(229) 273-3433
Entity
Organization
Contact information
Practice address
408 B 16TH AVE E, CORDELE, GA 31015
(229) 273-3433
(229) 273-0580
Mailing address
PO BOX 924, CORDELE, GA 31010-0924
(229) 273-3433
(229) 273-0580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE001060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00021106A4
—
GA
01
—
2012171
PK
—
Enumeration date
03/15/2007
Last updated
06/27/2019
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