A Carter Clements Jr
Pharmacist in Rhine, GA. Organization (NPI-2).
NPI number1619945912
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1619945912
- Entity type
- Organization (NPI-2)
- Legal business name
- A Carter Clements Jr
- Organization subpart
- No
- Enumeration date
- Mar 10, 2006
- Certification date
- Mar 11, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 004653 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 004653 | GA |
Other names
- Rhine Drug Company (Doing Business As)
Practice location
119 1st StRhine, GA 31077-3044
Phone 229-385-5351 · Fax 229-385-6807
Mailing address
Po Box 100Rhine, GA 31077-0100
Phone 229-385-5351 · Fax 229-385-6807
Authorized official
Andy Carter Clements
Owner/Pharmacist
2293855351
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