Self-med Rx Clayton Drug Inc

NPI 1285722710

Information of Self-med Rx Clayton Drug Inc

The NPI 1285722710 is an Organization type. NPI No 1285722710 belongs to Self-med Rx Clayton Drug Inc. Self-med Rx Clayton Drug Inc specializes in Pharmacy. is practising at 100 S Main St, Clayton, Georgia 30525. You can also contact him via phone number (706) 782-3211.

Practice address located

  • 100 S Main St
  • Clayton, Georgia 30525
  • (706) 782-3211
  • (706) 782-3211

Mailling address located

  • Po Box 686
  • Clayton, Georgia 30525
  • (706) 782-3211
  • Not available
NPI No 1285722710
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No333600000XPharmacyn/an/a
Yes3336C0003XCommunity/Retail PharmacyPHRE002710Georgia
No3336C0004XCompounding Pharmacyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
GA00025033AMedicaidn/a
n/a2012111OtherPK
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