Lee Goodrum Pharmacy Inc in Newnan - Community/retail Pharmacy

Lee Goodrum Pharmacy Inc - NPI 1053332015

Lee Goodrum Pharmacy Inc is a Community/retail Pharmacy in Newnan, Georgia. Lee Goodrum Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Lee Goodrum Pharmacy Inc is 1053332015. The last update date is 2016-04-25.

Lee Goodrum Pharmacy Inc's current location address is 40 Hospital Rd, Newnan, Georgia. You can contact this provider via phone number 7702531121 and fax number 7702533572. The mailing address for Lee Goodrum Pharmacy Inc is 40 Hospital Rd, Newnan, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lee Goodrum Pharmacy Inc
Address 40 Hospital Rd, Newnan, Georgia
Phone Number 7702531121
Fax Number 7702533572
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Goodrum John
Credentials BS PHARMAC
Telephone Number 7702531121

NPI Number Detail

NPI Number 1053332015
Provider Enumeration Date 2006-07-22
Last Updated Date 2016-04-25

Provider Mailing Address Detail

Address 40 Hospital Rd
City Newnan
State Georgia (GA)
Post Code 302631201
Phone Number 7702531121
Fax Number 7702533572

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PHRE006304
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00285051A GA --
2014853 PK

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FAQs about Lee Goodrum Pharmacy Inc

What is the Lee Goodrum Pharmacy Inc's unique identification number?

The Lee Goodrum Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1053332015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lee Goodrum Pharmacy Inc's facilities are situated?

The facilities of Lee Goodrum Pharmacy Inc are physically located at the following address: 40 Hospital Rd, Newnan, GA, 302631201.

What is Lee Goodrum Pharmacy Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Lee Goodrum Pharmacy Inc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

On what date did Lee Goodrum Pharmacy Inc receive its 1053332015 assignment from the Centers for Medicare & Medicaid Services?

The Lee Goodrum Pharmacy Inc was assigned its 1053332015 on 2006-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Lee Goodrum Pharmacy Inc last refreshed?

The information related to the Lee Goodrum Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2016-04-25.

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