Organization
LEE & PICKELS DRUGS STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS L. PICKELS (PHARMACIST-OWNER)
(229) 263-4061
Entity
Organization
Contact information
Practice address
302 E SCREVEN ST, QUITMAN, GA 31643-2132
(229) 263-4061
(229) 263-5950
Mailing address
302 E SCREVEN ST, QUITMAN, GA 31643-2132
(229) 263-4061
(229) 263-5950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030709A
—
GA
05
—
000030709B
—
GA
Enumeration date
12/22/2006
Last updated
08/26/2009
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