Organization
ATHENS DISCOUNT DRUGS INC
Active
Other names
ADD DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FLORENCE RPH (SEC TRS MGR)
(706) 548-2239
Entity
Organization
Contact information
Practice address
1695 S LUMPKIN ST, ATHENS, GA 30606-4742
(706) 548-2239
(706) 548-4428
Mailing address
1695 S LUMPKIN ST, ATHENS, GA 30606-4742
(706) 548-2239
(706) 548-4428
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000021128A
—
GA
01
—
1101740
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/11/2006
Last updated
11/13/2012
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