Organization
LUMPKIN DRUGS INC
Active
Other names
LUMPKIN DRUGS INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOGAN PHARM D (OWNER)
(229) 838-6245
Entity
Organization
Contact information
Practice address
815 COTTON ST, LUMPKIN, GA 31815
(229) 838-6245
(229) 838-4409
Mailing address
PO BOX 674, LUMPKIN, GA 31815-0674
(229) 838-4409
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE002979
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031094A
—
GA
01
—
1111498
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
06/17/2011
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