1376160747 NPI number — REFF DRUGS INC

Table of content: (NPI 1376160747)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376160747 NPI number — REFF DRUGS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REFF DRUGS 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:
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:
1376160747
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
751 WOODMONT DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30062-3834
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-840-9934
Provider Business Mailing Address Fax Number:
770-603-5565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1117 BATTLECREEK RD STE 860A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JONESBORO
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30236-2407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-435-0404
Provider Business Practice Location Address Fax Number:
770-603-5565
Provider Enumeration Date:
07/01/2020

Additional Information

Authorized Official

Authorized Official Last Name:
REFFELL
Authorized Official First Name:
OLA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
770-435-0404

Provider Taxonomy Codes

  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 14308100A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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