Organization
GRIFFIN'S PRESCRIPTION SHOP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY DONALD GRIFFIN PHARMACIST (PRESIDENT)
(912) 283-3010
Entity
Organization
Contact information
Practice address
1408 TEBEAU ST, WAYCROSS, GA 31501-5325
(912) 283-3010
Mailing address
1408 TEBEAU ST, WAYCROSS, GA 31501-5325
(912) 283-3010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005627
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000022415A
—
GA
Enumeration date
05/02/2006
Last updated
12/21/2007
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