Organization
GARDI DRUG COMPANY, LLC
Active
Other names
Barber's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS RAY HARRISON PHARMD (OWNER)
(912) 294-1684
Entity
Organization
Contact information
Practice address
731 CAMERON DR., BLACKSHEAR, GA 31516
(912) 449-4444
(912) 449-8735
Mailing address
731 CAMERON DR., BLACKSHEAR, GA 31516
(912) 449-4444
(912) 449-8735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PHR 004024
GA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038398A
—
GA
05
—
00003898A
—
GA
01
—
1121653
NCPDP / NABP
GA
01
—
PHR004024
PHARMACY STATE LICENSE
GA
01
—
RPH009806
PHARMACIST LICENSE
GA
Enumeration date
03/14/2006
Last updated
03/07/2023
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