Organization
ALLMOND & WHIPPLE, INC.
Active
Other names
City Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN R BLACK RPH (PHARMACIST/OWNER)
(912) 537-4147
Entity
Organization
Contact information
Practice address
1704 MEADOWS LN, VIDALIA, GA 30474-8913
(912) 537-4147
(912) 537-1914
Mailing address
1704 MEADOWS LN, VIDALIA, GA 30474-8913
(912) 537-4147
(912) 537-1914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHRE003762
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1115321
NCPDP
GA
Enumeration date
02/02/2007
Last updated
03/31/2023
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