Organization
BERKINTAYNE ENTERPRISES LLC
Active
Other names
Cleveland Pharmacy and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KINSEY PHARM. D. (PHARMACIST)
(706) 878-0571
Entity
Organization
Contact information
Practice address
19 E JARRARD ST, ON THE SQUARE, CLEVELAND, GA 30528-1212
(706) 865-1212
(706) 865-1221
Mailing address
PO BOX 1658, CLEVELAND, GA 30528-0030
(706) 865-1212
(706) 865-1221
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158864
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/06/2009
Last updated
08/03/2012
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