Organization
TRI-CARE INC
Active
Other names
THE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK TOOLE RPH (OWNER)
(912) 557-4701
Entity
Organization
Contact information
Practice address
214 S MAIN ST, REIDSVILLE, GA 30453-4602
(912) 557-4701
(912) 557-6078
Mailing address
PO BOX 159, REIDSVILLE, GA 30453-0159
(912) 557-4701
(912) 557-6078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008101
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00745775A
—
GA
01
—
2019710
PK
—
Enumeration date
10/19/2006
Last updated
12/19/2016
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