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Contact Information

CLARK DRUG COMPANY, LLC.
206 W 6TH STREET
WAYNESBORO, GA30830
 Phone: 706-558-3400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLARK DRUG COMPANY, LLC.

NPI Number 1619524865
LBN Legal business name CLARK DRUG COMPANY, LLC.
Authorized official BENJAMIN ROSS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2019
Last updated 08/22/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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