Organization
JIM CASH PHARMACY LLC
Active
Other names
BUCHANAN DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK M COOK PHARM.D. (PHARMACIST)
(770) 646-3570
Entity
Organization
Contact information
Practice address
406 CARROLLTON ST, BUCHANAN, GA 30113
(770) 646-3570
(770) 646-3571
Mailing address
PO BOX 369, BUCHANAN, GA 30113-0369
(770) 646-3570
(770) 646-3571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
GA
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005866
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107057
NABP NUMBER
—
05
—
204219195A
—
GA
01
—
87BBBCZ
PTAN
GA
Enumeration date
05/12/2006
Last updated
07/25/2012
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