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Organization

CLINIC DRUG STORE, INC.

Active
Parent organization
CLINIC DRUG STORE, INC.
Other names
Plains Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLINIC DRUG STORE, INC.
Authorized official
DR. LEE PINNELL PHARM.D. (OWNER)
(229) 824-5255
Entity
Organization

Contact information

Practice address
103 MAIN ST, PLAINS, GA 31780
(229) 824-5255
(229) 824-3703
Mailing address
103 MAIN ST, PLAINS, GA 31780
(229) 824-5255
(229) 824-3703

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033393A
GA
Enumeration date
09/13/2017
Last updated
07/21/2022
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