Organization
JM BAILEY PHARM
Active
Other names
FULCO DISCOUNT DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JERRELL BAILEY (PRESIDENT)
(912) 384-7028
Entity
Organization
Contact information
Practice address
301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 384-7026
(912) 384-9954
Mailing address
301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1155351
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/30/2007
Last updated
08/22/2020
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