Organization
CAVE SPRING PHARMACY LLC
Active
Other names
CAVE SPRING PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CLYDE MUSICK RPH (OWNER)
(706) 232-3047
Entity
Organization
Contact information
Practice address
26 ROME RD SW, CAVE SPRING, GA 30124-2701
(706) 777-9950
(706) 777-8235
Mailing address
PO BOX 310, CAVE SPRING, GA 30124-0310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089202086A
—
GA
01
—
1154626
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
09/15/2011
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