Organization
CLINIC PHARMACY INC
Active
Other names
CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BEECHER ELROD (OWNER/PHARMACIST-IN-CHARGE)
(706) 886-2151
Entity
Organization
Contact information
Practice address
58 BIG A RD, SUITE 101, TOCCOA, GA 30577-6017
(706) 886-2151
(706) 297-7519
Mailing address
58 BIG A RD, SUITE 101, TOCCOA, GA 30577
(706) 886-2151
(706) 297-7519
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHRE002911
GA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00647017A
—
GA
01
—
2019114
PK
—
Enumeration date
06/22/2006
Last updated
07/10/2019
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