Organization
J M BAILEY PHARMACY INC
Active
Other names
FULCO DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JERRELL BAILEY (PRES OF CORP)
(912) 384-7026
Entity
Organization
Contact information
Practice address
301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 384-7026
(912) 384-9554
Mailing address
301 SHIRLEY AVE, DOUGLAS, GA 31533-2333
(912) 384-7026
(912) 384-9554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000160531A
—
GA
01
—
2014028
PK
—
Enumeration date
02/06/2007
Last updated
02/21/2017
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