Organization
COMMUNITY DISCOUNT PARMACY
Active
Parent organization
COMMUNITY DISCOUNT PARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY DISCOUNT PARMACY
Authorized official
ANNIE RUTH BURNS (OWNER)
(229) 435-4671
Entity
Organization
Contact information
Practice address
310 W GORDON AVE, ALBANY, GA 31701-3258
(229) 432-7839
(229) 434-9873
Mailing address
310 W GORDON AVE, ALBANY, GA 31701-3258
(229) 432-7839
(229) 434-9873
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332604A
—
GA
Enumeration date
05/14/2007
Last updated
07/14/2008
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