Organization
COLONY DISCOUNT DRUGS INC
Active
Other names
Colony Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LOKEY (PIC)
(229) 423-9801
Entity
Organization
Contact information
Practice address
502 S GRANT ST, FITZGERALD, GA 31750-3312
(229) 423-9801
(229) 423-9496
Mailing address
502 S GRANT ST, FITZGERALD, GA 31750-3312
(229) 423-9801
(229) 423-9496
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE00437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00025231A
—
GA
01
—
2136512
PK
—
Enumeration date
04/03/2007
Last updated
10/25/2024
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