Whalio Doctors

NPI 1285722710

Self-Med Rx Clayton Drug INC

Organisation Community/Retail Pharmacy Clayton, GA

Practice location

Address
100 S Main St, Clayton, GA 30525-5480
Phone
(706) 782-3211
Fax
(706) 782-0705
Mailing address
PO Box 686 C/O Sef Med Rx, Clayton, GA 30525

Authorised official

Name
Mike Addington
Title
Pic
Phone
(706) 782-3211

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence PHRE002710 (GA)
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X

Registry record

NPI
1285722710
Entity type
Organization
NPI issued
10 Oct 2006
Record last updated
1 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.