Organization
RJ GRIFFIS ENTERPTISES LLC
Active
Other names
Boston Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH GRIFFIS (RPH)
(229) 498-6430
Entity
Organization
Contact information
Practice address
118 N MAIN ST, BOSTON, GA 31626-2257
(229) 498-6430
(229) 498-2997
Mailing address
PO BOX 68, BOSTON, GA 31626-0068
(229) 498-6430
(229) 498-2997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE008345
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146578
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2007
Last updated
04/01/2011
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