Organization
ADAIRSVILLE DRUG INC
Active
Other names
ADAIRSVILLE DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PAINTER (OWNER)
(770) 773-3521
Entity
Organization
Contact information
Practice address
6000 JOE FRANK HARRIS PKWY NW, SUITE F, ADAIRSVILLE, GA 30103-2443
(770) 773-3521
(770) 773-9882
Mailing address
6000 JOE FRANK HARRIS PKWY NW, SUITE F, ADAIRSVILLE, GA 30103-2443
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00249323A
—
GA
01
—
1104164
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/28/2006
Last updated
03/02/2009
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