1306065255 NPI number — BARNES DRUG STORES OF VALDOSTA INC

Table of content: (NPI 1306065255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306065255 NPI number — BARNES DRUG STORES OF VALDOSTA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARNES DRUG STORES OF VALDOSTA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306065255
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1187
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALDOSTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31603-1187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
229-245-6039
Provider Business Mailing Address Fax Number:
888-276-7881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 US HIGHWAY 41 N
Provider Second Line Business Practice Location Address:
UNIT K
Provider Business Practice Location Address City Name:
TIFTON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31794-2767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-391-9114
Provider Business Practice Location Address Fax Number:
229-391-9265
Provider Enumeration Date:
04/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARNES
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
W
Authorized Official Title or Position:
CEO AND OWNER
Authorized Official Telephone Number:
229-245-6039

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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