Organization
ROY POWELLS DRUG STORE INC
Active
Other names
ROY POWELLS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY ATKINSON RPH (OWNER)
(912) 384-1792
Entity
Organization
Contact information
Practice address
223 ASHLEY ST W, DOUGLAS, GA 31533-2349
(912) 384-1793
(912) 384-3627
Mailing address
223 ASHLEY ST W, DOUGLAS, GA 31533-2349
(912) 384-1793
(912) 384-3627
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE003424
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1109304
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
03/28/2013
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