Organization
BECKY S DRUGSTORE LLC
Active
Other names
Becky's Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY POWELL (OWNER/RPH)
(229) 314-1966
Entity
Organization
Contact information
Practice address
128 N BROAD ST, BUENA VISTA, GA 31803-2006
(229) 649-3784
(229) 649-7455
Mailing address
PO BOX 560, BUENA VISTA, GA 31803-0560
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136730
PK
—
Enumeration date
09/12/2012
Last updated
05/08/2013
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