Organization
CITY PHARMACY OF ZEBULON PC
Active
Other names
CITY PHARMACY OF ZEBULON PC
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GASKINS (PRES AND OWNER)
(770) 567-8844
Entity
Organization
Contact information
Practice address
460 THOMASTON ST, ZEBULON, GA 30295-3387
(770) 567-8844
(770) 567-5222
Mailing address
PO BOX 128, ZEBULON, GA 30295-0128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00383325A
—
GA
01
—
1133420
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/08/2005
Last updated
09/17/2012
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